Organization
CALIFORNIA WAVE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG JUN AN DDS (DENTIST)
(818) 988-9959
Entity
Organization
Contact information
Practice address
16444 PARAMOUNT BLVD STE 102, PARAMOUNT, CA 90723-5453
(562) 633-6580
Mailing address
16444 PARAMOUNT BLVD STE 102, PARAMOUNT, CA 90723-5453
(562) 633-6580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43413
CA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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