Organization
HURON SHORES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WONG MD (OWNER)
(888) 492-9142
Entity
Organization
Contact information
Practice address
2415 STONECROP WAY, GOLDEN, CO 80401-8526
(888) 462-9142
Mailing address
2415 STONECROP WAY, GOLDEN, CO 80401-8526
(888) 462-9142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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