Individual
MS. ELIZABETH XIU-JUAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
330 LIGHT HOUSE WAY, SACRAMENTO, CA 95831-3214
(916) 541-5007
Mailing address
330 LIGHT HOUSE WAY, SACRAMENTO, CA 95831-3214
(916) 541-5007
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 113
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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