Organization
CHRISTOPHER F. WONG, DDS, INC.
Active
Other names
CedarNorth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER F. WONG D.D.S. (CEO/PRESIDENT)
(559) 432-4948
Entity
Organization
Contact information
Practice address
7405 N CEDAR AVE, SUITE 102, FRESNO, CA 93720-3838
(559) 432-4948
(559) 432-4037
Mailing address
7405 N CEDAR AVE, SUITE 102, FRESNO, CA 93720-3838
(559) 432-4948
(559) 432-4037
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
31543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689884223
MEDICARE ORDERING AND REFERRING PROVIDER
CA
01
—
1881805836
MEDICARE ORDERING AND REFERRING PROVIDER
CA
Enumeration date
04/09/2017
Last updated
04/09/2017
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