Individual
DR. RANDALL EUGENE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1601 18TH ST NW, SUITE 3, WASHINGTON, DC 20009-2529
(202) 462-1999
(202) 462-0292
Mailing address
1601 18TH ST NW, SUITE 3, WASHINGTON, DC 20009-2529
(202) 462-1999
(202) 462-0292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5623
DC
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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