| NPI | 1831629419 |
|---|---|
| Other Name | JONATHAN L WONG, DMD |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAWRENCE WONG Owner 757-598-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: VA 0447000045) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |