Individual
ANN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
700 OTAY LAKES RD, CHULA VISTA, CA 91910-6912
(619) 421-8474
Mailing address
1742 SINALOA RD APT 333, SIMI VALLEY, CA 93065-3070
(805) 304-8882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104905
CA
Other
Enumeration date
02/06/2019
Last updated
08/24/2021
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