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Organization
SIMON WONG DENTAL GROUP INC.
Active
Organization
SIMON WONG DENTAL GROUP INC.
Active
Other names
Calstate Dental Inc, Calstate Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON WONG DDS (PRESIDENT)
(626) 354-9667
Entity
Organization
Contact information
Practice address
927 E GARVEY AVE, MONTEREY PARK, CA 91755-3028
(626) 255-1010
Mailing address
927 E GARVEY AVE, MONTEREY PARK, CA 91755-3028
(626) 255-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/12/2021
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