| Shang Dmd Dental Corporation | |
|
21222 Beach Blvd Huntington Beach CA 92648-5411 | |
| (949) 381-1635 | |
| Not Available |
| Full Name | Shang Dmd Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21222 Beach Blvd, Huntington Beach, California |
| Authorized Official Name and Position | Wynn Shang (PRESIDENT) |
| Authorized Official Contact | 9095707820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shang Dmd Dental Corporation 13208 Myford Rd Apt 341 Tustin CA 92782-9113 Ph: (909) 570-7820 | Shang Dmd Dental Corporation 21222 Beach Blvd Huntington Beach CA 92648-5411 Ph: (949) 381-1635 |
| NPI Number | 1235748120 |
|---|---|
| Provider Enumeration Date | 07/27/2020 |
| Last Update Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235748120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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