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Individual

AMY BEE WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4545
(707) 526-1016
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4545
(707) 526-1016

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51156
CA

Other

Enumeration date
12/28/2006
Last updated
01/19/2012
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