Individual
DR. ANDY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16736 FERN LEAF ST, CHINO HILLS, CA 91709-7444
(909) 979-1885
Mailing address
16736 FERN LEAF ST, CHINO HILLS, CA 91709-7444
(909) 979-1885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
65188
CA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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