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Organization
M.H. WONG DENTAL CORPORATION
Active
Organization
M.H. WONG DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WONG DDS (PRESIDENT)
(510) 734-1965
Entity
Organization
Contact information
Practice address
2970 HILLTOP MALL RD STE 212, RICHMOND, CA 94806-1949
(510) 222-4178
Mailing address
1900 HENRY AVE, PINOLE, CA 94564-2131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750805560
NPI TYPE 1
CA
Enumeration date
03/14/2021
Last updated
03/14/2021
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