Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Devon Lia-Soan Wan, DMD

Individual provider General Practice Dentistry · NPI 1255666228

Devon Lia-Soan Wan, DMD is a General Practice Dentistry in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1809 National Ave
San Diego, CA 92113-2113
Phone: (619) 515-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 60547 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255666228
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 8, 2009
Last updated in NPPESMarch 17, 2018

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