# AMY B. WONG, D.D.S., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831243104
- **Authorized official:** DR. AMY B WONG D.D.S. (PRESIDENT AND CEO)
- **Authorized official phone:** (510) 818-1891

## Contact information

- **Practice address:** 39358 FREMONT BLVD., FREMONT, CA 94538-1320
- **Practice address phone:** (510) 818-1891
- **Mailing address:** 39358 FREMONT BLVD., FREMONT, CA 94538-1320
- **Mailing address phone:** (510) 818-1891
- **Mailing address fax:** (510) 405-8848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 51156 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020