KEITH YUN KONG WONG

MODESTO, CA
NPI1336201615
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  8152T)
Enumeration Date2006-12-14
Last Update Date2023-03-07
Business Address
Dr. KEITH YUN KONG WONG O.D.
3401 DALE RD SUITE 300
MODESTO, CA 95356-0505
Phone number: 209-574-0710
Mailing Address
Dr. KEITH YUN KONG WONG O.D.
1608 LAVENDER LN
MODESTO, CA 95355-3771
Phone number: 209-521-5709
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