Individual
DR. ANDREW JOSHUA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
309 HOLLY LN, MANKATO, MN 56001-5422
(507) 388-2120
Mailing address
20018 INDIAN LAKE RD, MANKATO, MN 56001-6617
(651) 206-0663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13683
MN
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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