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Organization
MAC, MAKSIM AND YANG DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Active
Organization
MAC, MAKSIM AND YANG DENTAL PARTNERSHIP A GENERAL PARTNERSHIP
Active
Other names
Penasquitos Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK XUONG MAC (DOCTOR)
(240) 383-7623
Entity
Organization
Contact information
Practice address
8534 HOPSEED LN, SAN DIEGO, CA 92129-4166
(240) 383-7623
Mailing address
8534 HOPSEED LN, SAN DIEGO, CA 92129-4166
(240) 383-7623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35429
CA
1223P0300X
Periodontics
41808
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
45585
CA
Other
Enumeration date
09/30/2014
Last updated
12/28/2021
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