| |
11328 Kenyon Way Rancho Cucamonga CA 91701-9265 | |
(909) 945-5800 | |
(909) 945-9600 |
Full Name | |
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Speciality | Dentist - Prosthodontics |
Location | 11328 Kenyon Way, Rancho Cucamonga, California |
Authorized Official Name and Position | Yuen-siang Hung (OWNER) |
Authorized Official Contact | 9099455800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11328 Kenyon Way Rancho Cucamonga CA 91701-9265 Ph: (909) 945-5800 | 11328 Kenyon Way Rancho Cucamonga CA 91701-9265 Ph: (909) 945-5800 |
NPI Number | 1700903713 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 09/11/2008 |
Identifier | Type | State | Issuer |
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1700903713 | NPI | - | NPPES |
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