Individual
CAROL WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
401 GREGORY LN, SUITE 130, PLEASANT HILL, CA 94523-2800
(925) 681-1801
(925) 681-1802
Mailing address
401 GREGORY LN, SUITE 130, PLEASANT HILL, CA 94523-2800
(925) 681-1801
(925) 681-1802
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
39353
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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