Individual provider · Type 1 NPI

Devon Lia-Soan Wan, DMD

General Practice Dentistry · San Diego, CA

NPI number 1255666228 Active

Practice location

1809 National Ave
San Diego, CA 92113-2113

Mailing address

3512 Seahorn Cir.
San Diego, CA 92130

Other practice locations

  • 5296 University Ave Ste 1, San Diego, CA 92105-2269 · (619) 265-2262

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X60547 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: 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.

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About NPI 1255666228

Devon Lia-Soan Wan, DMD's National Provider Identifier is 1255666228, issued on Oct 8, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Mar 17, 2018.