| NPI | 1366064859 |
|---|---|
| Doing Business As | SIMON WONG DDS INC |
| Entity Type | Organization |
| Authorized Contact | SIMON WONG President 626-354-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |