Song W. Jung. Dds. Inc | |
23361 El Toro Rd, Ste 105 Lake Forest CA 92630 | |
(949) 458-1012 | |
(949) 458-1013 |
Full Name | Song W. Jung. Dds. Inc |
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Speciality | Dentist - General Practice |
Location | 23361 El Toro Rd, Ste 105, Lake Forest, California |
Authorized Official Name and Position | Song Woo Jung (PRESIDENT) |
Authorized Official Contact | 9494581012 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Song W. Jung. Dds. Inc 23361 El Toro Rd, Ste 105 Lake Forest CA 92630 Ph: (949) 458-1012 | Song W. Jung. Dds. Inc 23361 El Toro Rd, Ste 105 Lake Forest CA 92630 Ph: (949) 458-1012 |
NPI Number | 1659846855 |
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Provider Enumeration Date | 10/04/2018 |
Last Update Date | 10/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659846855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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