DR. Angelic Fortunato Wong, DDS

NPI #1144387895 in Union, New Jersey

Provider Information

NPI Number: 1144387895
Entity Type: Individual
Name: DR. Angelic Fortunato Wong, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1961 MORRIS AVE STE B1
City: Union
State: New Jersey
ZIP Code: 07083-3519
Phone: (908) 688-3883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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