Shu Man Wong, D.d.s., P.c.

NPI #1124225610 in Chicago, Illinois

Provider Information

NPI Number: 1124225610
Entity Type: Organization
Organization Name: Shu Man Wong, D.d.s., P.c.
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2323 S WENTWORTH AVE
Address 2: SUITE 202
City: Chicago
State: Illinois
ZIP Code: 60616-4615
Phone: (312) 225-5500

Authorized Official

Name: DR. SHU MAN WONG, D.D.S.
Title: PRESIDENT
Phone: (312) 225-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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