Individual
DEREK WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
430 S GARFIELD AVE STE 408, ALHAMBRA, CA 91801-3877
(213) 820-0351
Mailing address
430 S GARFIELD AVE STE 408, ALHAMBRA, CA 91801-3877
(213) 820-0351
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58157
CA
Other
Enumeration date
05/11/2009
Last updated
01/27/2025
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