KEVIN Y.S. WONG

LODI, CA
NPI1821129438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  30859)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
Dr. KEVIN Y.S. WONG D.D.S.
431 S HAM LN STE D
LODI, CA 95242-3524
Phone number: 209-334-4536
Mailing Address
Dr. KEVIN Y.S. WONG D.D.S.
431 S HAM LN STE D
LODI, CA 95242-3524
Phone number: 209-334-4536