Individual
DR. AMY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1404 S SAN GABRIEL BLVD STE A, SAN GABRIEL, CA 91776-3603
(626) 863-8578
Mailing address
1404 S SAN GABRIEL BLVD STE A, SAN GABRIEL, CA 91776-3603
(626) 863-8578
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56140
CA
Other
Enumeration date
12/05/2008
Last updated
11/02/2011
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