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Organization
WILMINGTON DENTAL GROUP
Active
Organization
WILMINGTON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN YOO (OWNER)
(310) 518-3522
Entity
Organization
Contact information
Practice address
414 W PACIFIC COAST HWY, WILMINGTON, CA 90744-2524
(310) 518-3522
Mailing address
414 W PACIFIC COAST HWY, WILMINGTON, CA 90744-2524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61918
CA
122300000X
Dentist
61938
CA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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