Organization
ALLEN KING WONG, DDS, INC.
Active
Other names
Wong Orthondontics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK WONG M.S., D.D.S. (DOCTOR)
(626) 966-3131
Entity
Organization
Contact information
Practice address
320 W BADILLO ST STE 201, COVINA, CA 91723-1833
(626) 966-3131
(626) 966-7603
Mailing address
320 W BADILLO ST STE 201, COVINA, CA 91723-1833
(626) 966-3131
(626) 966-7603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14905
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
42021
CA
Other
Enumeration date
03/08/2007
Last updated
03/12/2013
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