DR. Kenneth Wong, DDS

NPI #1376683425 in Litchfield Park, Arizona

Provider Information

NPI Number: 1376683425
Entity Type: Individual
Name: DR. Kenneth Wong, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 7, 2007
Last Updated: Oct 29, 2007

Practice Location

Address: 13575 W INDIAN SCHOOL RD
Address 2: SUITE 300
City: Litchfield Park
State: Arizona
ZIP Code: 85340-4901
Phone: (623) 536-7789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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