Individual
DR. JEFFREY Y WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 BROWN RD STE 202, FREMONT, CA 94539-7957
(510) 490-0591
Mailing address
200 BROWN RD STE 202, FREMONT, CA 94539-7957
(510) 490-0591
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30131
CA
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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