Individual
KENNETH C K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6514 LONETREE BLVD, ROCKLIN, CA 95765
(916) 797-2700
(916) 797-0700
Mailing address
6514 LONETREE BLVD, ROCKLIN, CA 95765
(916) 797-2700
(916) 797-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
47824
CA
Other
Enumeration date
11/06/2006
Last updated
10/19/2007
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