Organization
WONG BLUE OCEAN DENTAL OFFICE PC
Active
Other names
Wong Blue Ocean Dental Office PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED C WONG DDS (DENTIST)
(626) 852-6999
Entity
Organization
Contact information
Practice address
408 W BASELINE RD, GLENDORA, CA 91740-4801
(626) 852-6999
(626) 852-6909
Mailing address
408 W BASELINE RD, GLENDORA, CA 91740-4801
(626) 852-6999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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