MR. Kenneth Loren Wong, D.D.S.
NPI #1003991605 in San Francisco, California
Provider Information
- NPI Number
- 1003991605
- Entity Type
- Individual
- Name
- MR. Kenneth Loren Wong, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2041 POLK ST STE B
- City
- San Francisco
- State
- California
- ZIP Code
- 94109-2549
- Phone
- (415) 776-6897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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