| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336153337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0011013 (Florida) | Primary |