Individual
DR. DAVID WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5805 STATE BRIDGE RD, SUITE L, DULUTH, GA 30097-8220
(678) 474-4917
Mailing address
1527 CUSTIS CT, ATLANTA, GA 30338-6986
(803) 464-3130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012860
GA
Other
Enumeration date
11/11/2005
Last updated
07/08/2007
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