Johnson Ann Wong Dental Corporation | |
6512 N Figueroa St Ste 3 Los Angeles CA 90042-2155 | |
(323) 521-9833 | |
Not Available |
Full Name | Johnson Ann Wong Dental Corporation |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 6512 N Figueroa St Ste 3, Los Angeles, California |
Authorized Official Name and Position | Kin Cho Wong (PRESIDENT) |
Authorized Official Contact | 6266790103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Johnson Ann Wong Dental Corporation 223 N Electric Ave Alhambra CA 91801-1929 Ph: (626) 679-0103 | Johnson Ann Wong Dental Corporation 6512 N Figueroa St Ste 3 Los Angeles CA 90042-2155 Ph: (323) 521-9833 |
NPI Number | 1790385227 |
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Provider Enumeration Date | 10/26/2020 |
Last Update Date | 10/26/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790385227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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