person
Devon Lia-soan Wan, DMD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1255666228

Devon Lia-soan Wan is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Devon Lia-soan Wan practices in San Diego, CA and has the professional credentials of DMD. The NPI Number for Devon Lia-soan Wan is 1255666228 and holds a License No. 60547 (California).

The current practice location address for Devon Lia-soan Wan is 1809 National Ave, San Diego, CA and can be reached out via phone at 619-515-2394.

Location: 1809 National Ave, San Diego, CA, 92130
person
Provider Profile Details
NPI Number
1255666228
Provider Name
Devon Lia-soan Wan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1809 National Ave, San Diego, CA, 92130
Phone Number
619-515-2394
Fax Number
Provider Enumeration Date
10/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1809 National Ave
City
State
Zip
92113-2113
Phone Number
619-515-2394
Fax Number
person
Provider Business Mailing Address Details
Address
1809 National Ave
City
State
Zip
92113-2113
Phone Number
619-515-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
60547 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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