Individual
PAUL ANTHONY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
NATIONAL NAVAL MEDICAL CENTER, 8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(301) 295-4059
Mailing address
2022 GRESHAM LN, DAVIDSONVILLE, MD 21035-2452
(410) 798-9349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11659
MD
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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