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1336243732
GORDON WONG
OAKLAND, CA
NPI
1336243732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 24417)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
Dr. GORDON WONG D.D.S.
401 E 21ST ST
OAKLAND, CA 94606-1914
Phone number: 510-451-1974
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Mailing Address
Dr. GORDON WONG D.D.S.
401 E 21ST ST
OAKLAND, CA 94606-1914
Phone number: 510-451-1974
Copy
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