San Jacinto Dental Center

LBN: Sang Paik Dds, Inc
San Jacinto Dental Center is an health care organization with primary practice located at 166 E Main St Suite 6, San Jacinto CA 92583-4200. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sang Paik Dds, Inc can be contacted via phone (951) 654-8005, or through Lee, Jason via phone (951) 654-8005.

Contact Information

Primary practice address
166 E Main St Suite 6 San Jacinto CA 92583-4200
Phone: (951) 654-8005
Fax: (951) 654-3680
Website:
Map and Directions
Authorized official contact:
Name: Lee, Jason Doctor of Dental Surgery (DDS)
Phone: (951) 654-8005

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 41861 California

Profile Details

NPI number 1255544052
LBN Legal business name Sang Paik Dds, Inc
DBA Doing business as San Jacinto Dental Center
Authorized official Lee, Jason Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Aug 22nd, 2007 - about 18 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 1255544052 NPPES
California MEDICAID B41861-02

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