| D.wong, Dds, Dental Corporation | |
|
255 N San Mateo Dr Suite #2 San Mateo CA 94401-2655 | |
| (650) 347-7100 | |
| Not Available |
| Full Name | D.wong, Dds, Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 255 N San Mateo Dr, San Mateo, California |
| Authorized Official Name and Position | Derek Wong (PRESIDENT) |
| Authorized Official Contact | 6503477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.wong, Dds, Dental Corporation 255 N San Mateo Dr Suite #2 San Mateo CA 94401-2655 Ph: (650) 347-7100 | D.wong, Dds, Dental Corporation 255 N San Mateo Dr Suite #2 San Mateo CA 94401-2655 Ph: (650) 347-7100 |
| NPI Number | 1174983779 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174983779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 59808 (California) | Primary |
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