Provider Demographics
NPI:1518261783
Name:A PLANT DENTAL CENTER, INC
Entity Type:Organization
Organization Name:A PLANT DENTAL CENTER, INC
Other - Org Name:A PLANT DENTAL CENTER, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNGWOO
Authorized Official - Middle Name:
Authorized Official - Last Name:SEO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-483-0600
Mailing Address - Street 1:7333 HELLMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1302
Mailing Address - Country:US
Mailing Address - Phone:909-483-0600
Mailing Address - Fax:909-483-0669
Practice Address - Street 1:7333 HELLMAN AVE
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1302
Practice Address - Country:US
Practice Address - Phone:909-483-0600
Practice Address - Fax:909-483-0669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49990122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty