AARON SAN WONG

COLUMBIA, MO
NPI1326761271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2023019398)
Additional Taxonomies122300000X Dentist
(Licence: CA  108140)
Enumeration Date2022-09-26
Last Update Date2023-06-30
Business Address
AARON SAN WONG
200 PORTLAND ST
COLUMBIA, MO 65201-6525
Phone number: 844-853-8937
Mailing Address
AARON SAN WONG
2012 W ASH ST APT O07
COLUMBIA, MO 65203-1174
Phone number: 510-417-5331