Individual
DR. MARK WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
320 W BADILLO ST, SUITE 201, COVINA, CA 91723-1833
(626) 966-3131
(626) 966-7603
Mailing address
320 W BADILLO ST, SUITE 201, COVINA, CA 91723-1833
(626) 966-3131
(626) 966-7603
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42021
CA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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