Lawrence L. Wong, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Rialto, CA

NPI

1427106327

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

27938 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-08

Last updated

2007-07-08