Individual
JONATHAN JAMES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30492 GATEWAY PL STE 220, RANCHO MISSION VIEJO, CA 92694-1899
(949) 767-3925
Mailing address
760 WASHINGTON BLVD APT 103, MARINA DEL REY, CA 90292-6679
(760) 809-2862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
110073
CA
Other
Enumeration date
04/24/2022
Last updated
09/23/2025
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