SU-MIN WANG PROFESSIONAL DENTAL CORPORATION NPI 1679782718

NPI Information

SU-MIN WANG PROFESSIONAL DENTAL CORPORATION is a pediatric dentistry dentist in Aliso Viejo, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SU-MIN WANG PROFESSIONAL DENTAL CORPORATION NPI is 1679782718. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24541 PACIFIC PARK DR STE 104
ALISO VIEJO, CA
ZIP 92656-050
Phone: (949) 362-9860
Fax: (949) 362-4802

The provider's authorized official is Su-min Wang .
The authorized official title is President and has the following contact phone number (949) 362-9860.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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