Organization
FU WONG DDS PA
Active
Parent organization
FU WONG DDS PA
Other names
Lakeland Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
FU WONG DDS PA
Authorized official
DR. FU KEUNG WONG DDS (PRESIDENT DENTIST)
(763) 424-4415
Entity
Organization
Contact information
Practice address
7200 HEMLOCK LANE N FU WONG DDS PA, SUITE 105, MAPLE GROVE, MN 55369
(763) 424-4415
(763) 425-9428
Mailing address
7200 HEMLOCK LANE N FU WONG DDS PA, SUITE 105, MAPLE GROVE, MN 55369
(763) 424-4415
(763) 425-9428
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10739
MN
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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