Individual
ALLEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3901 CENTRAL PIKE STE 500, HERMITAGE, TN 37076-3431
(615) 933-7300
Mailing address
3901 CENTRAL PIKE STE 500, HERMITAGE, TN 37076-3431
(615) 933-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12451
TN
1223G0001X
General Practice Dentistry
36854
CA
Other
Enumeration date
05/24/2006
Last updated
07/15/2024
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