KENNETH LOREN WONG

SAN FRANCISCO, CA
NPI1003991605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29187)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
Mr. KENNETH LOREN WONG D.D.S.
2041 POLK ST STE B
SAN FRANCISCO, CA 94109-2549
Phone number: 415-776-6897
Mailing Address
Mr. KENNETH LOREN WONG D.D.S.
2041 POLK ST STE B
SAN FRANCISCO, CA 94109-2549
Phone number: 415-776-6897