Most Relevant Information
Provider Data
| NPI Number: | 1003216110 |
| Provider Name: | STEVEN KENNETH WONG D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 63956 |
Most Important Dates
| Enumeration Date: | 08/26/2014 |
| Last Updated: | 08/26/2014 |
Provider Practice Location
18822 PALO VERDE AVE
CERRITOS
CA
907039242
Practice Location Phone/Fax
| Phone: | 5629201731 |
| Fax: |
Provider Mailing Location
5177 WALNUT RD
VACAVILLE
CA
956879483
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |