Individual
DR. JONATHAN L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6161 KEMPSVILLE CIR STE 345, NORFOLK, VA 23502-3950
(757) 963-0001
(757) 961-9988
Mailing address
6161 KEMPSVILLE CIR STE 345, NORFOLK, VA 23502-3950
(757) 963-0001
(757) 961-9988
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
0447000045
VA
1223G0001X
General Practice Dentistry
0401414467
VA
Other
Enumeration date
06/25/2009
Last updated
07/21/2022
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