Ian Kiliona Pung D.D.S.

NPI 1063567352 - Dentist - 1223G0001X

NPI Details
NPI 1063567352
Gender Male
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
255 N GILBERT ST
BLDG. C, SUITE 4
HEMET CA, 92543-4066, US
Phone (951) 766-7864
Fax (951) 766-7864
Business Location
255 N GILBERT ST
BLDG. C, SUITE 4
HEMET CA, 92543-4066, US
Phone (951) 766-7864
Fax (951) 766-7864
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 37365
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According to our database, Dr. Ian Kiliona Pung D.D.S. NPI is 1063567352, taxonomy code is 1223G0001X and license number is 37365, license state is located at California. Ian Kiliona Pung D.D.S. physically located at 255 N Gilbert St, Hemet CA, 92543-4066. NPI Number Ian Kiliona Pung D.D.S. has the Individual type.

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1063567352 NPI number is provided on an as is basis without warranty of any kind. 1063567352 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Kiliona Pung D.D.S. are for informational purposes only.