Individual
DR. ANNIE LOUIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
520 LA GONDA WAY, SUITE 202, DANVILLE, CA 94526-1741
(925) 837-0541
(925) 837-0542
Mailing address
520 LA GONDA WAY, SUITE 202, DANVILLE, CA 94526-1741
(925) 837-0541
(925) 837-0542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40512
CA
Other
Enumeration date
09/14/2005
Last updated
08/23/2010
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