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1487742169
IAN WONG
ELK GROVE, CA
NPI
1487742169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 39917)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. IAN WONG D.D.S.
6624 LAGUNA BLVD. SUITE # 114
ELK GROVE, CA 95758
Phone number: 916-683-7800
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Mailing Address
Dr. IAN WONG D.D.S.
6624 LAGUNA BLVD. SUITE # 114
ELK GROVE, CA 95758
Phone number: 916-683-7800
Copy
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