Individual
DR. STEVEN C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1001 N HICKORY RD, SUITE 9, SOUTH BEND, IN 46615-3702
(574) 288-8600
(574) 288-6911
Mailing address
1001 N HICKORY RD, SUITE 9, SOUTH BEND, IN 46615-3702
(574) 288-8600
(574) 288-6911
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12009384
IN
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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