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General NPI Number Information
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NPI Number | 1598987893
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Entity Type | Organization
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Legal Business Name | SUNGCHUN S. WEE, DDS, INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 71757 29 PALMS HWY SUITE C
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277
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Country | US
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Telephone | 760-367-1100
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Fax | 760-367-2033
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Provider Business Mailing Address
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Address Line | 71757 29 PALMS HWY SUITE C
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92277
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Country | US
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Telephone | 760-367-1100
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Fax | 760-367-2033
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNGCHUN STEVEN WEE
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Credential | DDS
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Telephone | 760-367-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 47335
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License Number State | CA
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