Mark Alan Wong is a Dentist in Walnut Creek, California. Mark Alan Wong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Alan Wong is 1538363437. The last update date is 2021-10-01.
Mark Alan Wong's current location address is 3075 Citrus Cir Ste 204, Walnut Creek, California. You can contact this provider via phone number 9256785600 and fax number 9256760779. The mailing address for Mark Alan Wong is 3075 Citrus Cir Ste 204, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Alan Wong |
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Address | 3075 Citrus Cir Ste 204, Walnut Creek, California |
Phone Number | 9256785600 |
Fax Number | 9256760779 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1538363437 |
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Provider Enumeration Date | 2007-06-13 |
Last Updated Date | 2021-10-01 |
Provider Mailing Address Detail
Address | 3075 Citrus Cir Ste 204 |
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City | Walnut Creek |
State | California (CA) |
Post Code | 945982667 |
Phone Number | 9256785600 |
Fax Number | 9256760779 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 54788 |
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 Mark Alan Wong by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Alan Wong has been assigned the NPI (National Provider Identifier) 1538363437. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark Alan Wong?
The Mark Alan Wong is situated at 3075 Citrus Cir Ste 204, in the city of Walnut Creek, state of CA, with the zip code 945982667.
What is Mark Alan Wong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Alan Wong's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Mark Alan Wong receive the assignment of its 1538363437 from the Centers for Medicare & Medicaid Services?
The Mark Alan Wong was issued its 1538363437 by the Centers for Medicare & Medicaid Services on 2007-06-13.
As of what date were the details pertaining to Mark Alan Wong last refreshed?
The information related to the Mark Alan Wong, including its address, specialty, and other relevant details, was last updated on 2021-10-01.