Individual
DENISE RAE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
595 BUCKINGHAM WAY, SUITE 324, SAN FRANCISCO, CA 94132-1911
(415) 665-1877
Mailing address
595 BUCKINGHAM WAY, SUITE 324, SAN FRANCISCO, CA 94132-1911
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A117618
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2008
Last updated
09/18/2014
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