Wong Blue Ocean Dental Office Pc | |
408 W Baseline Rd Glendora CA 91740-4801 | |
(626) 852-6999 | |
(626) 852-6909 |
Full Name | Wong Blue Ocean Dental Office Pc |
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Speciality | Clinic/center - Dental |
Location | 408 W Baseline Rd, Glendora, California |
Authorized Official Name and Position | Fred C Wong (DENTIST) |
Authorized Official Contact | 6268526999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wong Blue Ocean Dental Office Pc 408 W Baseline Rd Glendora CA 91740-4801 Ph: (626) 852-6999 | Wong Blue Ocean Dental Office Pc 408 W Baseline Rd Glendora CA 91740-4801 Ph: (626) 852-6999 |
NPI Number | 1659896462 |
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Provider Enumeration Date | 08/14/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659896462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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