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Organization
SIMONWONGDDSINC
Active
Organization
SIMONWONGDDSINC
Active
Other names
california dentures
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON WONG D.D.S. (PRESIDENT)
(818) 246-4068
Entity
Organization
Contact information
Practice address
932 N. BRAND BLVD, GLENDALE, CA 91202-2982
(818) 246-4068
Mailing address
932 N BRAND BLVD, GLENDALE, CA 91202-2905
(818) 246-4068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49430
CA
Other
Enumeration date
01/17/2013
Last updated
02/21/2023
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