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Sang C Paik DDS

Dentist in Corona, CA. Organization (NPI-2).

NPI number1497979280
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497979280
Entity type
Organization (NPI-2)
Legal business name
Sang C Paik DDS
Organization subpart
No
Enumeration date
Apr 12, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist41861CAYes

Other names

  • Eagle Glen Dental Group (Other Name)

Practice location

3811 Bedford Canyon Rd
Suite 105
Corona, CA 92883

Phone 951-270-0211 · Fax 951-270-0702

Mailing address

3811 Bedford Canyon Rd
Suite 105
Corona, CA 92883

Phone 951-270-0211 · Fax 951-270-0702

Authorized official

Sang Churl Paik
Owner Dentist
9512700211

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Corona, CA

All 95 Dentist providers in Corona · All 4,930 providers in Corona

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