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Organization
TERENCE C. WONG, A PROFESSIONAL DENTAL CORPORATION
Active
Organization
TERENCE C. WONG, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE CHUCK WONG DDS (PRESIDENT)
(510) 581-7788
Entity
Organization
Contact information
Practice address
19845 LAKE CHABOT RD, SUITE #210, CASTRO VALLEY, CA 94546-4055
(510) 581-7788
(510) 581-6872
Mailing address
19845 LAKE CHABOT RD, SUITE #210, CASTRO VALLEY, CA 94546-4055
(510) 581-7788
(510) 581-6872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33880
CA
Other
Enumeration date
03/13/2007
Last updated
12/03/2007
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