Organization
DR TIMOTHY A WONG AND DR JOHN C FAT A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ALAN WONG DDS (ENDODONTIST PRESIDENT)
(916) 427-2555
Entity
Organization
Contact information
Practice address
7210 S LAND PARK DR, SUITE A, SACRAMENTO, CA 95831-3663
(916) 427-2555
(916) 395-2164
Mailing address
7210 S LAND PARK DR, SUITE A, SACRAMENTO, CA 95831-3663
(916) 427-2555
(916) 395-2164
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
CA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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