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Organization
MAA & WONG DENTAL CORPORATION
Active
Organization
MAA & WONG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY K MAA DDS (PRESIDENT)
(408) 736-0888
Entity
Organization
Contact information
Practice address
333 W MAUDE AVE STE 101, SUNNYVALE, CA 94085-4367
(408) 736-0888
(408) 736-7973
Mailing address
333 W MAUDE AVE STE 101, SUNNYVALE, CA 94085-4367
(408) 736-0888
(408) 736-7973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
32582
CA
Other
Enumeration date
03/23/2007
Last updated
07/02/2008
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