| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578696134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33880 (California) | Primary |
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