| Tom Keh Jens Wang A Professional Dental Corp | |
|
1408 S San Gabriel Blvd San Gabriel CA 91776-3603 | |
| (626) 572-7211 | |
| Not Available |
| Full Name | Tom Keh Jens Wang A Professional Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1408 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Tom K J Wang (PRESIDENT) |
| Authorized Official Contact | 6265727211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Keh Jens Wang A Professional Dental Corp 1408 S San Gabriel Blvd San Gabriel CA 91776-3603 Ph: (626) 572-7211 | Tom Keh Jens Wang A Professional Dental Corp 1408 S San Gabriel Blvd San Gabriel CA 91776-3603 Ph: (626) 572-7211 |
| NPI Number | 1699897223 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699897223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 32223 (California) | Primary |
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