Individual
MS. STEFANIE A WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3156 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3011
(757) 468-4867
(757) 368-0797
Mailing address
3156 MAGIC HOLLOW BLVD, VIRGINIA BEACH, VA 23453-3011
(757) 468-4867
(757) 368-0797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411828
VA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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