STEPHEN TAKASHI GONG WAT

FREMONT, CA
NPI1902112329
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: CA  54677)
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
STEPHEN TAKASHI GONG WAT DDS
38149 MARTHA AVE
FREMONT, CA 94536-3800
Phone number: 510-797-4430
Mailing Address
STEPHEN TAKASHI GONG WAT DDS
38149 MARTHA AVE
FREMONT, CA 94536-3800
Phone number: 510-797-4430
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