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1003028028
JUSTINE STACEY WONG
CARSON CITY, NV
NPI
1003028028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NV 4599)
Additional Taxonomies
122300000X Dentist
(Licence: CA 35568)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Dr. JUSTINE STACEY WONG DDS
917 MOUNTAIN STREET
CARSON CITY, NV 89703
Phone number: 775-888-6887
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Mailing Address
Dr. JUSTINE STACEY WONG DDS
917 MOUNTAIN STREET
CARSON CITY, NV 89703
Phone number: 775-888-6887
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