Organization
ANTHONY WONG,D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY WONG D.D.S. (DENTIST)
(714) 995-3051
Entity
Organization
Contact information
Practice address
3356 W BALL RD, STE.215, ANAHEIM, CA 92804-3702
(714) 995-3051
Mailing address
3356 W BALL RD, STE.215, ANAHEIM, CA 92804-3702
(714) 995-3051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
37039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G90548-01
—
CA
Enumeration date
09/04/2007
Last updated
09/04/2007
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