Organization
JEFFREY H WONG, D.D.S. M.S.
Active
Other names
Wong Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
LYN FEULA (FINANCIAL COORDINATOR)
(303) 444-6680
Entity
Organization
Contact information
Practice address
3400 PENROSE PL, SUITE 203, BOULDER, CO 80301-1809
(303) 444-6680
(303) 473-0705
Mailing address
3400 PENROSE PL, SUITE 203, BOULDER, CO 80301-1809
(303) 444-6680
(303) 473-0705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8169
CO
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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