| NPI | 1134975741 |
|---|---|
| Other Name | WILSON NG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS105617) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |