Organization
D.WONG, DDS, DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK WONG (PRESIDENT)
(650) 347-7100
Entity
Organization
Contact information
Practice address
255 N SAN MATEO DR, SUITE #2, SAN MATEO, CA 94401-2655
(650) 347-7100
Mailing address
255 N SAN MATEO DR, SUITE #2, SAN MATEO, CA 94401-2655
(650) 347-7100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
59808
CA
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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