Elaine Genevieve Wong D.M.D.

NPI 1053370726 - Dentist - 1223G0001X

NPI Details
NPI 1053370726
Gender Female
Enumeration Date 03/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
12201 PISSARO DR
NORTH POTOMAC MD, 20878-3475, US
Phone (301) 208-8565
Fax (301) 208-8565
Business Location
12201 PISSARO DR
NORTH POTOMAC MD, 20878-3475, US
Phone (301) 208-8565
Fax (301) 208-8565
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 11587
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According to our database, Dr. Elaine Genevieve Wong D.M.D. NPI is 1053370726, taxonomy code is 1223G0001X and license number is 11587, license state is located at Maryland. Elaine Genevieve Wong D.M.D. physically located at 12201 Pissaro Dr, North Potomac MD, 20878-3475. NPI Number Elaine Genevieve Wong D.M.D. has the Individual type.

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1053370726 NPI number is provided on an as is basis without warranty of any kind. 1053370726 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Genevieve Wong D.M.D. are for informational purposes only.