Individual
DR. ANDREW C WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3900 NEWPARK MALL ROAD, SUITE 204, NEWARK, CA 94560-5241
(510) 796-1793
Mailing address
3900 NEWPARK MALL ROAD, SUITE 204, NEWARK, CA 94560-5241
(510) 796-1793
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37038
CA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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