Academy Dental Center

LBN: Jung Jung Liu
Academy Dental Center is an health care organization with primary practice located at 628 North Azusa Ave , West Covina CA 91791. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jung Jung Liu can be contacted via phone (626) 966-8408, or through Liu, Stephanie Jung via phone (626) 966-8408.

Contact Information

Primary practice address
628 North Azusa Ave West Covina CA 91791
Phone: (626) 966-8408
Fax: (626) 967-4557
Website:
Map and Directions
Authorized official contact:
Name: Liu, Stephanie Jung Doctor of Dental Surgery (DDS)
Phone: (626) 966-8408

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 122337253 California

Profile Details

NPI number 1629195870
LBN Legal business name Jung Jung Liu
DBA Doing business as Academy Dental Center
Authorized official Liu, Stephanie Jung Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 7th, 2008 - about 16 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 1629195870 NPPES
California Other G9075801 MEDI CAL DENTI CAL

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