Jeffrey H Wong, D.d.s. M.s.

NPI #1942687926 in Boulder, Colorado

Provider Information

NPI Number: 1942687926
Entity Type: Organization
Organization Name: Jeffrey H Wong, D.d.s. M.s.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 29, 2015
Last Updated: Apr 29, 2015

Practice Location

Address: 3400 PENROSE PL
Address 2: SUITE 203
City: Boulder
State: Colorado
ZIP Code: 80301-1809
Phone: (303) 444-6680

Authorized Official

Name: LYN FEULA
Title: FINANCIAL COORDINATOR
Phone: (303) 444-6680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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