ALEXANDER CARLOS MATOS WONG

SHERMAN OAKS, CA
NPI1487126082
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  103436)
Enumeration Date2018-12-19
Last Update Date2018-12-19
Business Address
ALEXANDER CARLOS MATOS WONG DDS
15120 MAGNOLIA BOULEVARD APARTMENT 106
SHERMAN OAKS, CA 91403-1219
Phone number: 818-326-2873
Mailing Address
ALEXANDER CARLOS MATOS WONG DDS
15120 MAGNOLIA BOULEVARD APARTMENT 106
SHERMAN OAKS, CA 91403-1219
Phone number: 818-326-2873