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Individual

DENNIS ROY WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2241 S AVENUE A, SUITE 1, YUMA, AZ 85364-8336
(928) 783-0636
(928) 783-0054
Mailing address
11676 E VIA SALIDA, YUMA, AZ 85367-7263
(928) 210-2430
(928) 345-0790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3355
AZ

Other

Enumeration date
12/16/2006
Last updated
07/08/2007
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