| Sunset Dental Professionals | |
|
142 W West Covina Parkway West Covina CA 91790 | |
| (626) 960-2766 | |
| (626) 962-8216 |
| Full Name | Sunset Dental Professionals |
|---|---|
| Speciality | Dentist |
| Location | 142 W West Covina Parkway, West Covina, California |
| Authorized Official Name and Position | Andrew Woosung Knon (DENTIST) |
| Authorized Official Contact | 6269602766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunset Dental Professionals 1042 W West Covina Parkway West Covina CA 91790 Ph: (626) 960-2766 | Sunset Dental Professionals 142 W West Covina Parkway West Covina CA 91790 Ph: (626) 960-2766 |
| NPI Number | 1104104108 |
|---|---|
| Provider Enumeration Date | 07/26/2011 |
| Last Update Date | 07/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104104108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54659 (California) | Primary |
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