| NPI | 1417358003 |
|---|---|
| Other Name | ALAN WONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 33962) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NY 058667) |
| 1223G0001X Dentist General Practice (Licence: CA 64060) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-01-13 |