Individual
DR. MICHAEL WILLIAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3540 N BELT W, SUITE E, BELLEVILLE, IL 62226-5975
(618) 233-8667
(618) 233-8715
Mailing address
3540 N BELT W, SUITE E, BELLEVILLE, IL 62226-5975
(618) 233-8667
(618) 233-8715
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019029087
IL
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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