Wong, Kyle R

Wong, Kyle R is an sole proprietor health care provider with primary practice located at 416 W Las Tunas Dr Ste 102 , San Gabriel CA 91776-1236. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Other Service Providers / Acupuncturist. Dental Providers / Dentist is his primary health care specialty. Wong, Kyle R can be contacted via phone (626) 282-2068.

Contact Information

Primary practice address
416 W Las Tunas Dr Ste 102 San Gabriel CA 91776-1236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 35355 California
Other Service Providers / Acupuncturist 171100000X 9165 California

Profile Details

NPI number 1467631325
LBN Legal business name Wong, Kyle R
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2007
Last updated Dec 1st, 2009 - about 15 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.

Request for update

Popular Providers