Individual
CHRISTINA DIANE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
925 W 34TH ST STE 151, LOS ANGELES, CA 90089-0641
(213) 740-7405
Mailing address
925 W 34TH ST STE 151, LOS ANGELES, CA 90089-0641
(213) 740-7405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036034
CA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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