Individual
TYLER WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35004 N NORTH VALLEY PKWY, PHOENIX, AZ 85086-3254
(623) 879-9503
Mailing address
35004 N NORTH VALLEY PKWY STE 110, PHOENIX, AZ 85086-3255
(623) 879-9503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012499
AZ
Other
Enumeration date
05/27/2025
Last updated
06/09/2025
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