NPI | 1043309396 |
---|---|
Former Legal Business Name | ANGELIC F WONG DDS |
Entity Type | Organization |
Authorized Contact | ANGELIC FORTUNATO WONG Dentist Owner 908-688-3883 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-10-12 |
Last Update Date | 2015-12-03 |