Organization
SU-MIN WANG PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SU-MIN WANG DDS, MS (PRESIDENT)
(949) 362-9860
Entity
Organization
Contact information
Practice address
24541 PACIFIC PARK DR STE 104, ALISO VIEJO, CA 92656-3050
(949) 362-9860
(949) 362-4802
Mailing address
24541 PACIFIC PARK DR STE 104, ALISO VIEJO, CA 92656-3050
(949) 362-9860
(949) 362-4802
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
36030
CA
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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