Organization
SEOK HWAN SON DDS INC
Active
Other names
Anaheim Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
SEOK HWAN SON (CEO)
(714) 870-6611
Entity
Organization
Contact information
Practice address
40 E ORANGETHORPE AVE, ANAHEIM, CA 92801-1206
(213) 453-4368
(714) 281-8200
Mailing address
40 E ORANGETHORPE AVE, ANAHEIM, CA 92801-1206
(213) 453-4368
(714) 281-8200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366654832
INDIVIDUAL NPI
CA
Enumeration date
10/12/2017
Last updated
07/21/2022
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