Individual
MS. BETTY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3400 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1863
(415) 567-1532
Mailing address
1196 SCOTT ST, SAN FRANCISCO, CA 94115-4007
(415) 661-1893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50401
CA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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