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Organization
WONDERFUL LIFE DENTAL GROUP
Active
Organization
WONDERFUL LIFE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK PAI (CEO)
(626) 757-9906
Entity
Organization
Contact information
Practice address
10470 FOOTHILL BLVD # 250, RANCHO CUCAMONGA, CA 91730-3754
(626) 757-9906
Mailing address
10470 FOOTHILL BLVD # 250, RANCHO CUCAMONGA, CA 91730-3754
(626) 757-9906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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