Individual
MONITA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1428 MAIN ST, WALPOLE, MA 02081-1729
(508) 668-8008
Mailing address
1860 ALCATRAZ AVE, BERKELEY, CA 94703-2715
(510) 280-6080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D010376
AZ
1223G0001X
General Practice Dentistry
DDS104628
CA
1223G0001X
General Practice Dentistry
Primary
DN1859648
MA
Other
Enumeration date
04/09/2018
Last updated
04/24/2023
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