Individual
DR. AMY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5610 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1881
(602) 896-8886
(602) 896-8885
Mailing address
5610 W TALAVI BLVD, SUITE 100, GLENDALE, AZ 85306-1881
(602) 896-8886
(602) 896-8885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3833
AZ
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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