Wong, James T

Wong, James T is an individual health care provider with primary practice located at 5714 Atlantic Blvd , Maywood CA 90270-2920. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wong, James T can be contacted via phone (323) 581-4008.

Contact Information

Primary practice address
5714 Atlantic Blvd Maywood CA 90270-2920
Phone: (323) 581-4008
Fax: (323) 581-5689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42713 California

Profile Details

NPI number 1285848820
LBN Legal business name Wong, James T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jun 11th, 2009 - about 16 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 1285848820 NPPES
California MEDICAID D42713

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