Brian Russell Wong is a Dentist in Covina, California. Brian Russell Wong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian Russell Wong is 1053456822. The last update date is 2014-05-01.
Brian Russell Wong's current location address is 233 W Badillo St Ste C, Covina, California. You can contact this provider via phone number 6263325911. The mailing address for Brian Russell Wong is 233 W Badillo St Ste C, Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Russell Wong |
|---|---|
| Address | 233 W Badillo St Ste C, Covina, California |
| Phone Number | 6263325911 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053456822 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2014-05-01 |
Provider Mailing Address Detail
| Address | 233 W Badillo St Ste C |
|---|---|
| City | Covina |
| State | California (CA) |
| Post Code | 917231966 |
| Phone Number | 6263325911 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39577 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Brian Russell Wong by the Centers for Medicare & Medicaid Services?
The Brian Russell Wong has been assigned the NPI (National Provider Identifier) 1053456822. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Russell Wong's facilities are geographically located?
The facilities of Brian Russell Wong are physically situated at the following location: 233 W Badillo St Ste C, Covina, CA, 917231966.
What is Brian Russell Wong's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian Russell Wong is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053456822 to Brian Russell Wong?
The Centers for Medicare & Medicaid Services originally issued the 1053456822 to Brian Russell Wong on 2007-02-20.
When was the information related to Brian Russell Wong most recently updated or refreshed?
The details pertaining to the Brian Russell Wong, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-05-01.