Individual
DOMINC K.H. WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 S TELSHOR BLVD, STE 104, LAS CRUCES, NM 88011-9148
(505) 522-7697
Mailing address
2525 S TELSHOR BLVD, STE 104, LAS CRUCES, NM 88011-9148
(505) 522-7697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2002-0337
NM
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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