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Individual
DR. RYAN LEE WONG
Active
Individual
DR. RYAN LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
104808
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
12/02/2021
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