Organization
DEREK WONG DDS, INC
Active
Other names
Wong Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK WONG DDS, MS (ORTHODONTIST)
(213) 820-0351
Entity
Organization
Contact information
Practice address
10626 PARAMOUNT BLVD, DOWNEY, CA 90241-3304
(562) 861-7234
Mailing address
826 N MONTEREY ST, UNIT A, ALHAMBRA, CA 91801-6425
(213) 820-0351
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58157
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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