Organization
JOEL WONG DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL WONG DMD (OWNER DENTIST)
(858) 463-5550
Entity
Organization
Contact information
Practice address
4809 CLAIREMONT DR STE 65B, SAN DIEGO, CA 92117-2790
(858) 463-5550
Mailing address
4809 CLAIREMONT DR STE 65B, SAN DIEGO, CA 92117-2790
(858) 463-5550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108379
DENTAL LICENSE
CA
Enumeration date
04/22/2025
Last updated
04/22/2025
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