Individual
DR. CAROL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
(863) 956-2700
Mailing address
330 S LAKE SHORE WAY, LAKE ALFRED, FL 33850-2750
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN14802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075405600
—
FL
Enumeration date
02/05/2007
Last updated
04/27/2013
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