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1265864151
NATHAN WONG
SAN LUIS OBISPO, CA
NPI
1265864151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 62555)
Enumeration Date
2013-08-02
Last Update Date
2013-08-02
Business Address
Dr. NATHAN WONG D.D.S
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401-4006
Phone number: 562-237-0545
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Mailing Address
Dr. NATHAN WONG D.D.S
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401-4006
Phone number: 562-237-0545
Copy
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