| Ocean Dental | |
|
9951 Artesia Pl Bellflower CA 90706-6757 | |
| (562) 866-6914 | |
| Not Available |
| Full Name | Ocean Dental |
|---|---|
| Speciality | Dentist |
| Location | 9951 Artesia Pl, Bellflower, California |
| Authorized Official Name and Position | Wonjoon Lee (DOCTOR) |
| Authorized Official Contact | 5622782788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Dental 9951 Artesia Pl Bellflower CA 90706-6757 Ph: (562) 866-6914 | Ocean Dental 9951 Artesia Pl Bellflower CA 90706-6757 Ph: (562) 866-6914 |
| NPI Number | 1770320376 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 9032658802 |
|---|---|
| Medicare Enrollment ID | O20240823002694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770320376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| Provider Name | Wonjoon Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932559713 PECOS PAC ID: 0941749717 Enrollment ID: I20240823002739 |
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