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1497751564
KEN WONG
VISALIA, CA
NPI
1497751564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 51155)
Enumeration Date
2005-06-23
Last Update Date
2011-04-22
Business Address
Dr. KEN WONG DDS
1930 S GIDDINGS ST
VISALIA, CA 93277-4551
Phone number: 559-734-8171
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Mailing Address
Dr. KEN WONG DDS
1930 S GIDDINGS ST
VISALIA, CA 93277-4551
Phone number: 559-734-8171
Copy
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