Individual
DR. CHING HSIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
20395 PACIFICA DR STE 109, CUPERTINO, CA 95014-3016
(408) 996-2468
Mailing address
20395 PACIFICA DR STE 109, CUPERTINO, CA 95014-3016
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51674
CA
Other
Enumeration date
09/15/2007
Last updated
09/15/2007
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