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Organization
JAMES WONG DENTAL CORP.
Active
Organization
JAMES WONG DENTAL CORP.
Active
Other names
Corona Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T WONG DDS (DENTIST)
(323) 581-4008
Entity
Organization
Contact information
Practice address
5714 ATLANTIC BLVD, MAYWOOD, CA 90270-2920
(323) 581-4008
Mailing address
5714 ATLANTIC BLVD, MAYWOOD, CA 90270-2920
(323) 581-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93151-01
—
CA
Enumeration date
01/19/2007
Last updated
06/11/2009
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