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1902223548
MICHAEL WILLIAM WONG
BELLEVILLE, IL
NPI
1902223548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IL 019029087)
Enumeration Date
2014-03-20
Last Update Date
2014-03-20
Business Address
Dr. MICHAEL WILLIAM WONG DMD
3540 N BELT W SUITE E
BELLEVILLE, IL 62226-5975
Phone number: 618-233-8667
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Mailing Address
Dr. MICHAEL WILLIAM WONG DMD
3540 N BELT W SUITE E
BELLEVILLE, IL 62226-5975
Phone number: 618-233-8667
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