Individual
PAUL H L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
206 RICHMOND RD, BEREA, KY 40403
(859) 986-8491
(859) 986-8492
Mailing address
206 RICHMOND RD, BEREA, KY 40403
(859) 986-8491
(859) 986-8492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
KY4653
KY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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