Organization
NAOMI J. WONG, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAOMI J. WONG D.D.S. (DENTIST)
(714) 223-2021
Entity
Organization
Contact information
Practice address
415 W CHAPMAN AVE, PLACENTIA, CA 92870-5905
(714) 223-2021
(714) 223-2021
Mailing address
415 W CHAPMAN AVE, PLACENTIA, CA 92870-5905
(714) 223-2021
(714) 223-2021
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
37183
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G90548-02
—
CA
Enumeration date
09/04/2007
Last updated
09/04/2007
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