Individual
DR. DAVID TAI WAI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, DMSC
Contact information
Practice address
10833 LE CONTE AVE, 73-017 CHS, LOS ANGELES, CA 90095-3075
(310) 206-3048
(310) 825-7609
Mailing address
10833 LE CONTE AVE, 73-017 CHS, LOS ANGELES, CA 90095-3075
(310) 206-3048
(310) 825-7609
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
51420
CA
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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