Individual
DR. JONATHAN W WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
41 E 8TH ST APT 3206, CHICAGO, IL 60605-2441
(773) 575-1018
Mailing address
41 E 8TH ST APT 3206, CHICAGO, IL 60605-2441
(773) 575-1018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027637
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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