DR. Perry S Wong, DDS

NPI #1144222084 in Mariposa, California

Provider Information

NPI Number: 1144222084
Entity Type: Individual
Name: DR. Perry S Wong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 11, 2005
Last Updated: Oct 13, 2021

Practice Location

Address: MARIPOSA INDIAN HEALTH CLINIC
Address 2: 5192 HOSPITAL ROAD
City: Mariposa
State: California
ZIP Code: 95338-1569
Phone: (209) 966-0573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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