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Organization
SANG C PAIK DDS
Active
Organization
SANG C PAIK DDS
Active
Other names
Eagle Glen Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SANG CHURL PAIK DDS (OWNER DENTIST)
(951) 270-0211
Entity
Organization
Contact information
Practice address
3811 BEDFORD CANYON RD, SUITE 105, CORONA, CA 92883
(951) 270-0211
(951) 270-0702
Mailing address
3811 BEDFORD CANYON RD, SUITE 105, CORONA, CA 92883
(951) 270-0211
(951) 270-0702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41861
CA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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