Organization
REGINA S. WONG, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA S. WONG D.D.S. (OWNER)
(626) 858-2700
Entity
Organization
Contact information
Practice address
677 S 2ND AVE, COVINA, CA 91723-3518
(626) 858-2700
(626) 858-2754
Mailing address
677 S 2ND AVE, COVINA, CA 91723-3518
(626) 858-2700
(626) 858-2754
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
036303
CA
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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