David Won
Dentist in Riverside, CA. Individual provider (NPI-1).
NPI number1053973370
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1053973370
- Entity type
- Individual (NPI-1)
- Name
- David Won
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Certification date
- Dec 1, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 107006 | CA | Yes |
| 122300000X | Dentist | D010423 | AZ |
Practice location
10181 Magnolia AveRiverside, CA 92503-3444
Phone 951-200-3753
Mailing address
10996 Rincon StLoma Linda, CA 92354-5219
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