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General NPI Number Information
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NPI Number | 1083752547
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Entity Type | Individual
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Provider Name | MICHAEL MAUNG AUNG DDS
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Gender | Male
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 1434 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3656
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Country | US
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Telephone | 626-571-8210
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Fax | 626-573-3460
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Provider Business Mailing Address
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Address Line | 3527 LINDA LEE AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-2012
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Country | US
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Telephone | 626-572-9172
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Fax | 626-572-9172
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 53440
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License Number State | CA
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