Individual
ANTHONY IGNATIUS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
(863) 956-2700
(863) 956-2770
Mailing address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
(863) 956-2700
(863) 956-2770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011013
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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