| Tien Chun D. Wang D.m.d., Inc | |
|
1309 N Grand Ave Walnut CA 91789-1317 | |
| (909) 594-7899 | |
| (909) 839-1168 |
| Full Name | Tien Chun D. Wang D.m.d., Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1309 N Grand Ave, Walnut, California |
| Authorized Official Name and Position | Tien Chun D. Wang (DOCTOR) |
| Authorized Official Contact | 9095947899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tien Chun D. Wang D.m.d., Inc 1309 N Grand Ave Walnut CA 91789-1317 Ph: (909) 594-7899 | Tien Chun D. Wang D.m.d., Inc 1309 N Grand Ave Walnut CA 91789-1317 Ph: (909) 594-7899 |
| NPI Number | 1659850071 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659850071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35179 (California) | Primary |
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