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Individual
DR. SARAH ANNE WONG
Active
Individual
DR. SARAH ANNE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602064
MI
1223G0001X
General Practice Dentistry
DDS108452
CA
390200000X
Student in an Organized Health Care Education/Training Program
2901602064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901602064
DENTAL LICENSE
MI
01
—
5315247369
CONTROLLED SUBSTANCE LICENSE
MI
01
—
DDS108452
DENTAL LICENSE
CA
01
—
FW4217433
DEA
MI
Enumeration date
02/02/2023
Last updated
06/06/2026
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