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Organization
WAI KEUNG SO DDS MS INC
Active
Organization
WAI KEUNG SO DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAI KEUNG SO DDS (PRESIDENT)
(714) 952-1881
Entity
Organization
Contact information
Practice address
9907 WALKER ST, CYPRESS, CA 90630-3827
(714) 952-1881
(714) 633-6688
Mailing address
9907 WALKER ST, CYPRESS, CA 90630-3827
(714) 952-1881
(714) 633-6688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2947701
CA DEPT OF HEALTH SERVICE
CA
Enumeration date
04/11/2007
Last updated
08/22/2020
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