Wong, Carol
Wong, Carol is an individual health care provider with primary practice located at 330 S Lake Shore Way , Lake Alfred FL 33850-2750. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Wong, Carol can be contacted via phone (863) 956-2700.Contact Information
Primary practice address
330 S Lake Shore Way
Lake Alfred FL 33850-2750
Phone: (863) 956-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | DN14802 | Florida |
Profile Details
| NPI number | 1437298973 |
|---|---|
| LBN Legal business name | Wong, Carol |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Apr 27th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437298973 | NPPES |
| Florida | MEDICAID | 075405600 |
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