Terence C. Wong, A Professional Dental Corporation | |
19845 Lake Chabot Rd Suite #210 Castro Valley CA 94546-4055 | |
(510) 581-7788 | |
(510) 581-6872 |
Full Name | Terence C. Wong, A Professional Dental Corporation |
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Speciality | Dentist - General Practice |
Location | 19845 Lake Chabot Rd, Castro Valley, California |
Authorized Official Name and Position | Terence Chuck Wong (PRESIDENT) |
Authorized Official Contact | 5105817788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Terence C. Wong, A Professional Dental Corporation 19845 Lake Chabot Rd Suite #210 Castro Valley CA 94546-4055 Ph: (510) 581-7788 | Terence C. Wong, A Professional Dental Corporation 19845 Lake Chabot Rd Suite #210 Castro Valley CA 94546-4055 Ph: (510) 581-7788 |
NPI Number | 1578696134 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 12/03/2007 |
Identifier | Type | State | Issuer |
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1578696134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 33880 (California) | Primary |
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