Individual
ALEXANDER CARLOS MATOS WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15120 MAGNOLIA BOULEVARD, APARTMENT 106, SHERMAN OAKS, CA 91403-1219
(818) 326-2873
(818) 646-0800
Mailing address
15120 MAGNOLIA BOULEVARD, APARTMENT 106, SHERMAN OAKS, CA 91403-1219
(818) 326-2873
(818) 646-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103436
CA
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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