DR. Sam Y Wong, D.D.S.

NPI #1003023268 in Oakland, California

Provider Information

NPI Number: 1003023268
Entity Type: Individual
Name: DR. Sam Y Wong, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1904 FRANKLIN ST
Address 2: SUITE 511
City: Oakland
State: California
ZIP Code: 94612-2912
Phone: (510) 893-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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