Individual
DR. JASON GILBERT WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
721 W WHITTIER BLVD STE B, LA HABRA, CA 90631-3771
(310) 463-4762
Mailing address
721 W WHITTIER BLVD, STE B, LA HABRA, CA 90631-3771
(310) 463-4762
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
52132
CA
Other
Enumeration date
05/22/2007
Last updated
08/03/2016
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