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General NPI Number Information
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NPI Number | 1669263307
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Entity Type | Organization
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Legal Business Name | WESLEY HUNG DDS INC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 11328 KENYON WAY
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-9265
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Country | US
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Telephone | 909-945-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 4995 CERVETTI AVE
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-5127
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Country | US
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Telephone | 951-961-0608
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WESLEY HUNG
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Credential | DDS
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Telephone | 951-961-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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