| |
37262 47th St E Ste 101 Palmdale CA 93552-4482 | |
(661) 285-8600 | |
Not Available |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 37262 47th St E Ste 101, Palmdale, California |
Authorized Official Name and Position | Jonathan Sunyong Won (CEO) |
Authorized Official Contact | 6612858600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
37262 47th St E Ste 101 Palmdale CA 93552-4482 Ph: (661) 285-8600 | 37262 47th St E Ste 101 Palmdale CA 93552-4482 Ph: (661) 285-8600 |
NPI Number | 1417199639 |
---|---|
Provider Enumeration Date | 04/02/2009 |
Last Update Date | 04/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417199639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 44125 (California) | Primary |