| Wilmington Dental Group | |
|
414 W Pacific Coast Hwy Wilmington CA 90744-2524 | |
| (310) 518-3522 | |
| Not Available |
| Full Name | Wilmington Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 414 W Pacific Coast Hwy, Wilmington, California |
| Authorized Official Name and Position | John Yoo (OWNER) |
| Authorized Official Contact | 3105183522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Dental Group 414 W Pacific Coast Hwy Wilmington CA 90744-2524 Ph: () - | Wilmington Dental Group 414 W Pacific Coast Hwy Wilmington CA 90744-2524 Ph: (310) 518-3522 |
| NPI Number | 1649656489 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649656489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 61918 (California) | Primary |
| 122300000X | Dentist | 61938 (California) | Secondary |
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