Elsinore Main Street Dental

LBN: Oh Jae Kwon, Dds, Inc
Elsinore Main Street Dental is an health care organization with primary practice located at 141 N Main St , Lake Elsinore CA 92530-4118. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Oh Jae Kwon, Dds, Inc can be contacted via phone (951) 245-5003, or through Kwon, Oh Jae via phone (909) 576-7175.

Contact Information

Primary practice address
141 N Main St Lake Elsinore CA 92530-4118
Phone: (951) 245-5003
Fax: (951) 471-0637
Website:
Map and Directions
Authorized official contact:
Name: Kwon, Oh Jae Doctor of Dental Surgery (DDS)
Phone: (909) 576-7175

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 46484 California

Profile Details

NPI number 1740572197
LBN Legal business name Oh Jae Kwon, Dds, Inc
DBA Doing business as Elsinore Main Street Dental
Authorized official Kwon, Oh Jae Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2011
Last updated Jul 6th, 2016 - about 8 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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