DR. Justine Stacey Wong, DDS

NPI #1003028028 in Carson City, Nevada

Provider Information

NPI Number: 1003028028
Entity Type: Individual
Name: DR. Justine Stacey Wong, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 917 MOUNTAIN STREET
City: Carson City
State: Nevada
ZIP Code: 89703
Phone: (775) 888-6887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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