Individual
DR. ELLEN WONSUN IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13422 POMERADO RD STE 201, POWAY, CA 92064-3548
(410) 644-4100
Mailing address
13422 POMERADO RD, SUITE 201, POWAY, CA 92064
(858) 679-6660
(858) 679-0850
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63073
CA
Other
Enumeration date
08/11/2006
Last updated
05/10/2021
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