Individual
JUSTIN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16111 PLUMMER ST, NORTH HILLS, CA 91343
(818) 891-7711
Mailing address
16111 PLUMMER ST, NORTH HILLS, CA 91343-2036
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
64216
CA
Other
Enumeration date
04/18/2012
Last updated
07/26/2018
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