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DR. SEUNG K SHON DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1437338753

Individual Registrant:
DR. SEUNG K SHON DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
1329 HWY 2 STE C WRIGHTWOOD, CA 92397 US
Tel: 760-249-5411  Fax: 760-249-3561

Contact information for business:
PO BOX 3159  WRIGHTWOOD, CA 92397-3159 US
Tel: 760-249-5411  Fax: 760-249-3561

Registration Information:
NPI: 1437338753
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA53107

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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