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1336277870
DERRICK B WONG
LOMPOC, CA
NPI
1336277870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: CA 47433)
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- DERRICK B WONG D.M.D
1111 E OCEAN AVE SUITE 5
LOMPOC, CA 93436-7076
Phone number: 805-735-9200
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Mailing Address
-- DERRICK B WONG D.M.D
1111 E OCEAN AVE SUITE 5
LOMPOC, CA 93436-7076
Phone number: 805-735-9200
Copy
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