Edmund Lloyd Wong D

NPI 1063436343 - Dentist - 1223G0001X

NPI Details
NPI 1063436343
Gender Male
Enumeration Date 07/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3731 WILSHIRE BLVD #625
LOS ANGELES CA, 90010, US
Phone (213) 382-6746
Fax (213) 375-0161
Business Location
3731 WILSHIRE BLVD STE 625
LOS ANGELES CA, 90010-2824, US
Phone (213) 382-6746
Fax (213) 375-0161
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 36035
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According to our database, Dr. Edmund Lloyd Wong D NPI is 1063436343, taxonomy code is 1223G0001X and license number is 36035, license state is located at California. Edmund Lloyd Wong D physically located at 3731 Wilshire Blvd #625, Los Angeles CA, 90010. NPI Number Edmund Lloyd Wong D has the Individual type.

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1063436343 NPI number is provided on an as is basis without warranty of any kind. 1063436343 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund Lloyd Wong D are for informational purposes only.