Individual
DR. MELISSA ANNE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5610 W TALAVI BLVD STE 100, GLENDALE, AZ 85306-1881
(602) 896-8886
Mailing address
5610 W TALAVI BLVD STE 100, GLENDALE, AZ 85306-1881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010416
AZ
Other
Enumeration date
02/26/2019
Last updated
07/23/2020
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