Organization
SIMON WONG DDS INC
Active
Other names
simon wong dds inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON WONG DDS (PRESIDENT)
(626) 354-9667
Entity
Organization
Contact information
Practice address
1111 N BRAND BLVD STE B, GLENDALE, CA 91202-3072
(818) 246-4068
Mailing address
1111 N BRAND BLVD STE B, GLENDALE, CA 91202-3072
(818) 246-4068
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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