Suzie M. Wong Dds, Inc | |
18527 S Western Ave Suite 16 Gardena CA 90248-3830 | |
(310) 532-2774 | |
Not Available |
Full Name | Suzie M. Wong Dds, Inc |
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Speciality | Dentist |
Location | 18527 S Western Ave, Gardena, California |
Authorized Official Name and Position | Suzie M Wong (PRESIDENT) |
Authorized Official Contact | 3105322774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suzie M. Wong Dds, Inc 18527 S Western Ave Suite 16 Gardena CA 90248-3830 Ph: (310) 532-2774 | Suzie M. Wong Dds, Inc 18527 S Western Ave Suite 16 Gardena CA 90248-3830 Ph: (310) 532-2774 |
NPI Number | 1194901074 |
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Provider Enumeration Date | 01/10/2008 |
Last Update Date | 01/10/2008 |
Identifier | Type | State | Issuer |
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1194901074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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