Most Relevant Information
Provider Data
| NPI Number: | 1003023268 |
| Provider Name: | SAM Y WONG D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 24696 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1904 FRANKLIN ST
SUITE 511
OAKLAND
CA
946122912
Practice Location Phone/Fax
| Phone: | 5108938066 |
| Fax: | 5108936542 |
Provider Mailing Location
1904 FRANKLIN ST
SUITE 511
OAKLAND
CA
946122912
Provider Mailing Phone/Fax
| Phone: | 5108938066 |
| Fax: | 5108936542 |