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Organization
MICHAEL WONG DENTAL CORPORATION
Active
Organization
MICHAEL WONG DENTAL CORPORATION
Active
Other names
Cerritos Smiles Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G WONG DDS (OWNER)
(562) 278-1609
Entity
Organization
Contact information
Practice address
11549 SOUTH STREET, CERRITOS, CA 90703
(562) 278-1609
(562) 276-2570
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
05/11/2022
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