Provider Demographics
NPI:1720393424
Name:POON, ALAN TEENWAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:TEENWAI
Last Name:POON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E REMINGTON DR STE 8
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1934
Mailing Address - Country:US
Mailing Address - Phone:408-746-0330
Mailing Address - Fax:
Practice Address - Street 1:425 E REMINGTON DR STE 8
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1934
Practice Address - Country:US
Practice Address - Phone:408-746-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59697122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist