Direct Dermatology Professionals PC

NPI #1417263922 in Manteca, California

Provider Information

NPI Number: 1417263922
Entity Type: Organization
Organization Name: Direct Dermatology Professionals PC
Primary Specialty: Dermatology
Enumeration Date: Aug 20, 2010
Last Updated: Nov 6, 2024

Practice Location

Address: 165 SAINT DOMINICS DR STE 120
City: Manteca
State: California
ZIP Code: 95337-7802
Phone: (510) 241-2884

Authorized Official

Name: DR. DAVID WONG, MD
Title: PRESIDENT
Phone: (855) 944-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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