DERRICK B WONG

LOMPOC, CA
NPI1336277870
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: CA  47433)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- DERRICK B WONG D.M.D
1111 E OCEAN AVE SUITE 5
LOMPOC, CA 93436-7076
Phone number: 805-735-9200
Mailing Address
-- DERRICK B WONG D.M.D
1111 E OCEAN AVE SUITE 5
LOMPOC, CA 93436-7076
Phone number: 805-735-9200