Organization
COSMETIC AND FAMILY DENTISTRY LANA WONG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA LEE WONG DDS (PRESIDENT)
(480) 755-3310
Entity
Organization
Contact information
Practice address
205 S DOBSON RD, #3, CHANDLER, AZ 85224-6183
(480) 755-3310
Mailing address
205 S DOBSON RD, #3, CHANDLER, AZ 85224-6183
(480) 755-3310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5449
AZ
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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