Individual
ANDREW WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2120 W 18TH ST, HOUSTON, TX 77008-1210
(713) 861-7078
(713) 861-8065
Mailing address
2120 W 18TH ST, HOUSTON, TX 77008-1210
(713) 861-7078
(713) 861-8065
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130651601
—
TX
Enumeration date
04/08/2008
Last updated
05/20/2019
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