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Organization
CHRISTOPHER F. WONG, DDS, INC.
Active
Organization
CHRISTOPHER F. WONG, DDS, INC.
Active
Other names
CedarNorth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER F. WONG D.D.S. (CEO/PRESIDENT)
(559) 432-4948
Entity
Organization
Contact information
Practice address
7405 N CEDAR AVE, SUITE 102, FRESNO, CA 93720-3838
(559) 432-4948
(559) 432-4037
Mailing address
7405 N CEDAR AVE, SUITE 102, FRESNO, CA 93720-3838
(559) 432-4948
(559) 432-4037
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689884223
MEDICARE ORDERING AND REFERRING PROVIDER
CA
01
—
1881805836
MEDICARE ORDERING AND REFERRING PROVIDER
CA
Enumeration date
04/09/2017
Last updated
04/09/2017
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