Individual
DR. SHIRLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
613 N. AZUSA AVE, SUITE #A, AZUSA, CA 91702
(626) 354-0082
Mailing address
805 TEMPLE TERRACE #311, LOS ANGELES, CA 90042
(626) 354-0082
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
48696
CA
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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