KENNETH KEN-YIP WONG

SANTA MONICA, CA
NPI1922281914
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  37041)
Enumeration Date2007-12-12
Last Update Date2007-12-12
Business Address
Dr. KENNETH KEN-YIP WONG DDS
1304 15TH ST 311
SANTA MONICA, CA 90404-1809
Phone number: 310-656-8880
Mailing Address
Dr. KENNETH KEN-YIP WONG DDS
1304 15TH ST 311
SANTA MONICA, CA 90404-1809
Phone number: 310-656-8880