Michael K Wong, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Marlton, NJ

NPI

1346463148

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DI 14284 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-10

Last updated

2014-05-05