Individual
DR. CARRIE KA LEI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3500 LOMITA BOULEVARD, SUITE 103, TORRANCE, CA 90505-5021
(310) 530-7011
(310) 530-1334
Mailing address
3500 LOMITA BOULEVARD, SUITE 103, TORRANCE, CA 90505-5021
(310) 530-7011
(310) 530-1334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60667
CA
1223D0001X
Public Health Dentistry
60667
CA
1223G0001X
General Practice Dentistry
60667
CA
Other
Enumeration date
07/06/2010
Last updated
02/02/2012
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