Individual
DR. BRIAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
50 S SAN MATEO DR, SUITE #160, SAN MATEO, CA 94401-3857
(650) 342-4377
Mailing address
50 S SAN MATEO DR, SUITE #160, SAN MATEO, CA 94401-3857
(650) 342-4377
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
028504
CA
Other
Enumeration date
05/11/2007
Last updated
07/23/2009
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