DR. Wayne L. Wong, D.D.S.

NPI #1316071319 in La Mirada, California

Provider Information

NPI Number: 1316071319
Entity Type: Individual
Name: DR. Wayne L. Wong, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 14, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 15651 IMPERIAL HWY
Address 2: SUITE 201
City: La Mirada
State: California
ZIP Code: 90638-1628
Phone: (562) 947-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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