Peter Wong, DDS

NPI #1154860849 in Northridge, California

Provider Information

NPI Number: 1154860849
Entity Type: Individual
Name: Peter Wong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DDS
Enumeration Date: Feb 15, 2017
Last Updated: Oct 28, 2019

Practice Location

Address: 18519 DEVONSHIRE ST
City: Northridge
State: California
ZIP Code: 91324
Phone: (818) 831-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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