Individual
DR. ALAN M. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1455 E HWY 50, CLERMONT, FL 34711-3209
(352) 242-1818
(352) 242-4835
Mailing address
1455 E HWY 50, CLERMONT, FL 34711-3209
(352) 242-1818
(352) 242-4835
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260812439
—
FL
Enumeration date
05/10/2008
Last updated
12/02/2019
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