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1063734036
AMY WONG D.D.S., INC
SAN GABRIEL, CA
NPI
1063734036
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Entity Type
Organization
Authorized Contact
AMY WONG
President
626-863-8575
Organization Subpart ?
No
Primary Taxonomy
305S00000X Point of Service
(Licence: CA 56140)
Enumeration Date
2010-02-18
Last Update Date
2011-11-02
Business Address
AMY WONG D.D.S., INC
1404 S SAN GABRIEL BLVD STE A
SAN GABRIEL, CA 91776-3603
Phone number: 626-863-8578
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Mailing Address
AMY WONG D.D.S., INC
1404 S SAN GABRIEL BLVD STE A
SAN GABRIEL, CA 91776-3603
Phone number: 626-863-8578
Copy