Organization
SUNGCHUN S. WEE, DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNGCHUN STEVEN WEE DDS (PRESIDENT)
(760) 367-1100
Entity
Organization
Contact information
Practice address
71757 29 PALMS HWY, SUITE C, TWENTYNINE PALMS, CA 92277
(760) 367-1100
(760) 367-2033
Mailing address
71757 29 PALMS HWY, SUITE C, TWENTYNINE PALMS, CA 92277
(760) 367-1100
(760) 367-2033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47335
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245907
TRIGON
CA
01
—
47335
DELTA DENTAL
CA
01
—
857275
UNITED CONCORDIA
CA
05
—
G92915-01
—
CA
Enumeration date
05/03/2007
Last updated
09/18/2007
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