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Individual

DR. NATHAN GEE YUT WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7200 HEMLOCK LN N STE 105, MAPLE GROVE, MN 55369-5587
(763) 424-4415
Mailing address
4600 COVEY TRL, MEDINA, MN 55340-4000
(763) 210-8847

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14553
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2021
Last updated
06/03/2021
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