Individual
SAMANTHA MEEGWEN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 RIO COMMUNITIES BLVD, RIO COMMUNITIES, NM 87002-6168
(505) 864-2978
Mailing address
3442 W 113TH AVE, WESTMINSTER, CO 80031-7165
(720) 236-7195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD5657
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2022
Last updated
04/06/2023
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