Individual
DR. CLIFFORD THOMAS WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
5800 STANFORD RANCH RD, SUITE 620, ROCKLIN, CA 95765-4385
(916) 435-9939
(916) 435-9839
Mailing address
5800 STANFORD RANCH RD, ROCKLIN, CA 95765-4385
(916) 435-9939
(916) 435-9839
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
45342
CA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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