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1003991605
KENNETH LOREN WONG
SAN FRANCISCO, CA
NPI
1003991605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29187)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
Mr. KENNETH LOREN WONG D.D.S.
2041 POLK ST STE B
SAN FRANCISCO, CA 94109-2549
Phone number: 415-776-6897
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Mailing Address
Mr. KENNETH LOREN WONG D.D.S.
2041 POLK ST STE B
SAN FRANCISCO, CA 94109-2549
Phone number: 415-776-6897
Copy
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