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1487126082
ALEXANDER CARLOS MATOS WONG
SHERMAN OAKS, CA
NPI
1487126082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 103436)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
ALEXANDER CARLOS MATOS WONG DDS
15120 MAGNOLIA BOULEVARD APARTMENT 106
SHERMAN OAKS, CA 91403-1219
Phone number: 818-326-2873
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Mailing Address
ALEXANDER CARLOS MATOS WONG DDS
15120 MAGNOLIA BOULEVARD APARTMENT 106
SHERMAN OAKS, CA 91403-1219
Phone number: 818-326-2873
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