| W Peng Dental Corporation | |
|
30630 Rancho California Rd Ste 504 Temecula CA 92591-3205 | |
| (951) 694-0545 | |
| Not Available |
| Full Name | W Peng Dental Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 30630 Rancho California Rd Ste 504, Temecula, California |
| Authorized Official Name and Position | Willard Peng (SOLE OWNER) |
| Authorized Official Contact | 8186531246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W Peng Dental Corporation 30630 Rancho California Rd Ste 504 Temecula CA 92591-3205 Ph: () - | W Peng Dental Corporation 30630 Rancho California Rd Ste 504 Temecula CA 92591-3205 Ph: (951) 694-0545 |
| NPI Number | 1548024060 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 9830534346 |
|---|---|
| Medicare Enrollment ID | O20240223002742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548024060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Willard Peng |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548544117 PECOS PAC ID: 0749625259 Enrollment ID: I20240223002799 |
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