Organization
SIMON WONG DENTAL GROUP INC.
Active
Other names
Calstate Dental Inc, Calstate Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON WONG DDS (PRESIDENT)
(626) 354-9667
Entity
Organization
Contact information
Practice address
927 E GARVEY AVE, MONTEREY PARK, CA 91755-3028
(626) 255-1010
Mailing address
927 E GARVEY AVE, MONTEREY PARK, CA 91755-3028
(626) 255-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/12/2021
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