Corona Dental Center

LBN: James Wong Dental Corp.
Corona Dental Center is an health care organization with primary practice located at 5714 Atlantic Blvd , Maywood CA 90270-2920. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. James Wong Dental Corp. can be contacted via phone (323) 581-4008, or through Wong, James T via phone (323) 581-4008.

Contact Information

Primary practice address
5714 Atlantic Blvd Maywood CA 90270-2920
Phone: (323) 581-4008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wong, James T Doctor of Dental Surgery (DDS)
Phone: (323) 581-4008

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42713 California

Profile Details

NPI number 1306999651
LBN Legal business name James Wong Dental Corp.
DBA Doing business as Corona Dental Center
Authorized official Wong, James T Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306999651 NPPES
California MEDICAID G93151-01

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