| Eric T. Wong D.d.s., A Professional Corp | |
|
23326 Hawthorne Blvd Ste 310 Torrance CA 90505-3757 | |
| (310) 378-4220 | |
| (310) 378-9222 |
| Full Name | Eric T. Wong D.d.s., A Professional Corp |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 23326 Hawthorne Blvd Ste 310, Torrance, California |
| Authorized Official Name and Position | Eric Thomas Wong (PRESIDENT) |
| Authorized Official Contact | 3102592114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric T. Wong D.d.s., A Professional Corp 23326 Hawthorne Blvd Ste 310 Torrance CA 90505-3757 Ph: (310) 378-4220 | Eric T. Wong D.d.s., A Professional Corp 23326 Hawthorne Blvd Ste 310 Torrance CA 90505-3757 Ph: (310) 378-4220 |
| NPI Number | 1811214356 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 05/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811214356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 58395 (California) | Primary |
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