| NPI | 1659896462 |
|---|---|
| Doing Business As | WONG BLUE OCEAN DENTAL OFFICE PC |
| Entity Type | Organization |
| Authorized Contact | FRED C WONG Dentist 626-852-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |