Individual
JUSTIN PHILLIP WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5639 E 5TH ST, STE C, TUCSON, AZ 85711-2443
(520) 745-0223
Mailing address
5639 E 5TH ST, STE C, TUCSON, AZ 85711-2443
(520) 745-0223
(520) 745-2419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2838
AZ
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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