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Individual

ALEXIS ANNE ARTIAGA WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2960 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4370
(863) 665-1545
Mailing address
3659 VICTORIA MANOR DR APT B106, LAKELAND, FL 33805-2930

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27887
FL

Other

Enumeration date
12/04/2020
Last updated
12/04/2020
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