| NPI | 1750412714 |
|---|---|
| Doing Business As | WONG ORTHONDONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK WONG Doctor 626-966-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 14905) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42021) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-03-12 |