MEDICARE: WIN P NAING DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	58683	CA

General Provider Information

NPI Number	:	1427381565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WIN P NAING DDS

Provider Business Mailing Address
First Line	:	11766 VALLEY BLVD
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-3044
Country	:	US
Telephone Number	:	626-448-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 S CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2503
Country	:	US
Telephone Number	:	818-242-9595
Fax Number	:	818-242-9524

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2009
Last Update Date	:	01/14/2019

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