Eagle Glen Dental Group

LBN: Wong & Pham Dds, Inc.
Eagle Glen Dental Group is an health care organization with primary practice located at 3811 Bedford Canyon Rd Ste 105 , Corona CA 92883-0789. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Wong & Pham Dds, Inc. can be contacted via phone (951) 270-0211, or through Wong, Pauline Pham via phone (951) 270-0211.

Contact Information

Primary practice address
3811 Bedford Canyon Rd Ste 105 Corona CA 92883-0789
Fax: (951) 270-0702
Website:
Authorized official contact:
Name: Wong, Pauline Pham Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 53643 California

Profile Details

NPI number 1417128034
LBN Legal business name Wong & Pham Dds, Inc.
DBA Doing business as Eagle Glen Dental Group
Authorized official Wong, Pauline Pham Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Mar 24th, 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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