Individual
DR. D. OLIVER WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2320 PROFESSIONAL DR, ROSEVILLE, CA 95661-7745
(916) 784-1700
(916) 784-1022
Mailing address
2320 PROFESSIONAL DR, ROSEVILLE, CA 95661-7745
(916) 784-1700
(916) 784-1022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37040
CA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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