ELLIS CHARLES WONG

LOS ANGELES, CA
NPI1316167711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29004)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Dr. ELLIS CHARLES WONG DDS
607 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1307
Phone number: 323-464-5555
Mailing Address
Dr. ELLIS CHARLES WONG DDS
607 N LARCHMONT BLVD
LOS ANGELES, CA 90004-1307
Phone number: 323-464-5555