| Sundentalcorp | |
|
1720 S San Gabriel Blvd Ste 101 San Gabriel CA 91776-3975 | |
| (626) 288-9055 | |
| Not Available |
| Full Name | Sundentalcorp |
|---|---|
| Speciality | Dentist |
| Location | 1720 S San Gabriel Blvd Ste 101, San Gabriel, California |
| Authorized Official Name and Position | Joseph Tze King Kor (PRESIDENT) |
| Authorized Official Contact | 6262889055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundentalcorp 1720 S San Gabriel Blvd Ste 101 San Gabriel CA 91776-3975 Ph: (626) 288-9055 | Sundentalcorp 1720 S San Gabriel Blvd Ste 101 San Gabriel CA 91776-3975 Ph: (626) 288-9055 |
| NPI Number | 1952789406 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952789406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37126 (California) | Primary |
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