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Organization
WONG & PHAM DDS, INC.
Active
Organization
WONG & PHAM DDS, INC.
Active
Other names
Eagle Glen Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE PHAM WONG DDS (PRESIDENT)
(951) 270-0211
Entity
Organization
Contact information
Practice address
3811 BEDFORD CANYON RD STE 105, CORONA, CA 92883-0789
(951) 270-0211
(951) 270-0702
Mailing address
PO BOX 27250, ANAHEIM, CA 92809-0297
(951) 270-0211
(951) 270-0702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53643
CA
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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