Wong Family Dental Center, Pa | |
330 S Lake Shore Way Lake Alfred FL 33850-2750 | |
(863) 956-2700 | |
(863) 956-2770 |
Full Name | Wong Family Dental Center, Pa |
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Speciality | Dentist - General Practice |
Location | 330 S Lake Shore Way, Lake Alfred, Florida |
Authorized Official Name and Position | Anthony Ignatius Wong (OWNER) |
Authorized Official Contact | 8639562700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wong Family Dental Center, Pa 330 S Lake Shore Way Lake Alfred FL 33850-2750 Ph: (863) 956-2700 | Wong Family Dental Center, Pa 330 S Lake Shore Way Lake Alfred FL 33850-2750 Ph: (863) 956-2700 |
NPI Number | 1336153337 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 01/13/2015 |
Identifier | Type | State | Issuer |
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1336153337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN0011013 (Florida) | Primary |