| Wan Peng Dds A Professional Corp. | |
|
1106 N 2nd St El Cajon CA 92021-5008 | |
| (619) 442-3131 | |
| (619) 442-8445 |
| Full Name | Wan Peng Dds A Professional Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1106 N 2nd St, El Cajon, California |
| Authorized Official Name and Position | Wan Peng (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6194423131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wan Peng Dds A Professional Corp. 1106 N 2nd St El Cajon CA 92021-5008 Ph: (619) 442-3131 | Wan Peng Dds A Professional Corp. 1106 N 2nd St El Cajon CA 92021-5008 Ph: (619) 442-3131 |
| NPI Number | 1700076858 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700076858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44985 (California) | Primary |
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