Individual
DR. BENSON H WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
931 SAN BRUNO AVE W RM 3, SAN BRUNO, CA 94066-3435
(650) 588-7936
(650) 588-7938
Mailing address
931 SAN BRUNO AVE W RM 3, SAN BRUNO, CA 94066-3435
(650) 588-7936
(650) 588-7938
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41326
CA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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