| Seung M Kang & Lloyd Trieu Dds, Inc. | |
|
17942 Van Buren Blvd Riverside CA 92508-9255 | |
| (951) 780-8831 | |
| (951) 780-8832 |
| Full Name | Seung M Kang & Lloyd Trieu Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 17942 Van Buren Blvd, Riverside, California |
| Authorized Official Name and Position | Seung M Kang (OWNER) |
| Authorized Official Contact | 9517808831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seung M Kang & Lloyd Trieu Dds, Inc. 17942 Van Buren Blvd Riverside CA 92508-9255 Ph: (951) 780-8831 | Seung M Kang & Lloyd Trieu Dds, Inc. 17942 Van Buren Blvd Riverside CA 92508-9255 Ph: (951) 780-8831 |
| NPI Number | 1629510458 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 11/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629510458 | NPI | - | NPPES |
| 1295942985 | Medicaid | CA | |
| 192297183 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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