Individual
DR. LANA LEE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13395 N MARANA MAIN ST, MARANA, AZ 85653-7008
(520) 616-6200
(520) 682-1087
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-6200
(520) 682-1087
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620650
STATE
AZ
Enumeration date
04/18/2006
Last updated
01/29/2024
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