Individual
DR. MAYRA EDITH WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
909 DAIRY ASHFORD ST, SUITE 109, HOUSTON, TX 77079-5309
(281) 752-0314
Mailing address
3814 DRUMMOND ST, HOUSTON, TX 77025-2420
(281) 501-3929
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
24864
TX
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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