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Organization
WONG FAMILY DENTAL CENTER, PA
Active
Organization
WONG FAMILY DENTAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY IGNATIUS WONG DDS (OWNER)
(863) 956-2700
Entity
Organization
Contact information
Practice address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
(863) 956-2700
(863) 956-2770
Mailing address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
(863) 956-2700
(863) 956-2770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011013
FL
Other
Enumeration date
07/28/2006
Last updated
01/13/2015
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