| NPI | 1043646326 |
|---|---|
| Other Name | WONG ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DEREK WONG Orthodontist 213-820-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58157) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |