Provider Demographics
NPI:1376275255
Name:SEUNG C SON DDS, INC
Entity Type:Organization
Organization Name:SEUNG C SON DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:CHEON
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-870-4111
Mailing Address - Street 1:2246 ROSECRANS AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-1742
Mailing Address - Country:US
Mailing Address - Phone:714-870-4111
Mailing Address - Fax:714-870-0455
Practice Address - Street 1:2246 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-1742
Practice Address - Country:US
Practice Address - Phone:714-870-4111
Practice Address - Fax:714-870-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty