Individual
DR. CARMEN P LI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7588 NW 17TH DR, PEMBROKE PINES, FL 33024
(203) 681-0478
Mailing address
7588 NW 17TH DR, PEMBROKE PINES, FL 33024-1004
(203) 681-0478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031021
IL
Other
Enumeration date
07/15/2009
Last updated
06/15/2018
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