Wong, Eric Thomas

Wong, Eric Thomas is an individual health care provider with primary practice located at 23326 Hawthorne Blvd Suite 310, Torrance CA 90505-3725. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Wong, Eric Thomas can be contacted via phone (310) 378-4220.

Contact Information

Primary practice address
23326 Hawthorne Blvd Suite 310 Torrance CA 90505-3725
Phone: (310) 378-4220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 58395 California

Profile Details

NPI number 1508071358
LBN Legal business name Wong, Eric Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Apr 3rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508071358 NPPES
California MEDICAID 1508071358

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