Organization
ERIC T. WONG D.D.S., A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC THOMAS WONG D.D.S. (PRESIDENT)
(310) 259-2114
Entity
Organization
Contact information
Practice address
23326 HAWTHORNE BLVD STE 310, TORRANCE, CA 90505-3757
(310) 378-4220
(310) 378-9222
Mailing address
23326 HAWTHORNE BLVD STE 310, TORRANCE, CA 90505-3757
(310) 378-4220
(310) 378-9222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58395
CA
Other
Enumeration date
04/23/2010
Last updated
05/06/2011
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