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Individual

TANYA WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1078 E 25TH ST, PATERSON, NJ 07513-1632
(973) 742-5827
(973) 742-8149
Mailing address
1078 E 25TH ST, PATERSON, NJ 07513-1632
(973) 742-5827
(973) 742-8149

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DI19422
NJ

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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