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1316167711
ELLIS CHARLES WONG
LOS ANGELES, CA
NPI
1316167711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29004)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Dr. ELLIS CHARLES WONG DDS
607 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1307
Phone number: 323-464-5555
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Mailing Address
Dr. ELLIS CHARLES WONG DDS
607 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1307
Phone number: 323-464-5555
Copy
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