# WILSON WONG, DDS, INC

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

## Provider details

- **NPI number:** 1912189226
- **Authorized official:** DR. WILSON WONG DDS (PRESIDENT/CEO)
- **Authorized official phone:** (415) 753-0333

## Contact information

- **Practice address:** 2340 IRVING ST, SUITE 105, SAN FRANCISCO, CA 94122-1641
- **Practice address phone:** (415) 753-0333
- **Practice address fax:** (415) 753-1899
- **Mailing address:** 2340 IRVING ST, SUITE 105, SAN FRANCISCO, CA 94122-1641
- **Mailing address phone:** (415) 753-0333
- **Mailing address fax:** (415) 753-1899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | B36856 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007