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SEOK HWAN SON DDS INC NPI 1740791060


NPI Information

NPI: 1740791060
Provider Name: SEOK HWAN SON DDS INC

Doing Business As: ANAHEIM DENTAL GROUP

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
40 E ORANGETHORPE AVE
ANAHEIM, CA
ZIP 92801
Phone: (213) 453-4368
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SEOK HWAN SON DDS INC is an oral and maxillofacial surgery dentist in Anaheim, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SEOK HWAN SON DDS INC NPI is 1740791060. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anaheim Dental Group.

The provider's business location address is:

40 E ORANGETHORPE AVE
ANAHEIM, CA
ZIP 92801-206
Phone: (213) 453-4368
Fax: (714) 281-8200

The provider's authorized official is Seok Hwan Son .
The authorized official title is Ceo and has the following contact phone number (714) 870-6611.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery52471CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11366654832OTHERCALIFORNIAINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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