Individual
JONATHAN GEE HIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 HEMLOCK LN N STE 105, MAPLE GROVE, MN 55369-5587
(763) 424-4415
Mailing address
7200 HEMLOCK LN N STE 105, MAPLE GROVE, MN 55369-5587
(763) 424-4415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14104
MN
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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