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1023029220
ELLEN WONSUN IM
POWAY, CA
NPI
1023029220
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Former Name
ELLEN WONSUN LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 63073)
Enumeration Date
2006-08-11
Last Update Date
2021-05-10
Business Address
Dr. ELLEN WONSUN IM DDS
13422 POMERADO RD STE 201
POWAY, CA 92064-3548
Phone number: 410-644-4100
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Mailing Address
Dr. ELLEN WONSUN IM DDS
13422 POMERADO RD SUITE 201
POWAY, CA 92064
Phone number: 858-679-6660
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