# JEFFREY H WONG, D.D.S. M.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wong Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942687926
- **Authorized official:** LYN FEULA (FINANCIAL COORDINATOR)
- **Authorized official phone:** (303) 444-6680

## Contact information

- **Practice address:** 3400 PENROSE PL, SUITE 203, BOULDER, CO 80301-1809
- **Practice address phone:** (303) 444-6680
- **Practice address fax:** (303) 473-0705
- **Mailing address:** 3400 PENROSE PL, SUITE 203, BOULDER, CO 80301-1809
- **Mailing address phone:** (303) 444-6680
- **Mailing address fax:** (303) 473-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 8169 | CO | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 04/29/2015