Organization
SHANG DMD DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYNN SHANG DMD (PRESIDENT)
(909) 570-7820
Entity
Organization
Contact information
Practice address
21222 BEACH BLVD, HUNTINGTON BEACH, CA 92648-5411
(949) 381-1635
Mailing address
13208 MYFORD RD APT 341, TUSTIN, CA 92782-9113
(909) 570-7820
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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