CODY WONG

PARK RIDGE, IL
NPI1659912632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032264)
Enumeration Date2019-10-01
Last Update Date2019-10-01
Business Address
CODY WONG DMD
1600 DEMPSTER ST STE 101
PARK RIDGE, IL 60068-1171
Phone number: 847-298-4436
Mailing Address
CODY WONG DMD
2155 FARRELL AVE
PARK RIDGE, IL 60068-1164
Phone number: 224-436-9640