| Wonderkids Dental Compton | |
|
14309 S Atlantic Ave Ste 104 Compton CA 90221-2562 | |
| (916) 601-7802 | |
| Not Available |
| Full Name | Wonderkids Dental Compton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14309 S Atlantic Ave Ste 104, Compton, California |
| Authorized Official Name and Position | Junmook Park (DENTIST) |
| Authorized Official Contact | 9166017802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderkids Dental Compton 14309 S Atlantic Ave Ste 104 Compton CA 90221-2562 | Wonderkids Dental Compton 14309 S Atlantic Ave Ste 104 Compton CA 90221-2562 Ph: (916) 601-7802 |
| NPI Number | 1578300182 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578300182 | NPI | - | NPPES |
| 1043825771 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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