Individual
DR. ELAINE GENEVIEVE WONG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
12201 PISSARO DR, NORTH POTOMAC, MD 20878-3475
(301) 208-8565
(301) 208-8565
Mailing address
12201 PISSARO DR, NORTH POTOMAC, MD 20878-3475
(301) 208-8565
(301) 208-8565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11587
MD
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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