Leslie Mark Wong in San Jose - General Practice
Leslie Mark Wong - NPI 1154464790
Leslie Mark Wong is a General Practice in San Jose, California. Leslie Mark Wong practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leslie Mark Wong is 1154464790. The last update date is 2007-07-08.
Leslie Mark Wong's current location address is 827 Blossom Hill Rd, San Jose, California. You can contact this provider via phone number 4082242000 and fax number 4082244111. The mailing address for Leslie Mark Wong is 827 Blossom Hill Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Mark Wong |
|---|---|
| Address | 827 Blossom Hill Rd, San Jose, California |
| Phone Number | 4082242000 |
| Fax Number | 4082244111 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154464790 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 827 Blossom Hill Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951232701 |
| Phone Number | 4082242000 |
| Fax Number | 4082244111 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 33879 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Leslie Mark Wong's 1154464790?
The Leslie Mark Wong's NPI (National Provider Identifier) Number is 1154464790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Leslie Mark Wong?
The Leslie Mark Wong is situated at 827 Blossom Hill Rd, in the city of San Jose, state of CA, with the zip code 951232701.
What is Leslie Mark Wong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leslie Mark Wong is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154464790 to Leslie Mark Wong?
The Centers for Medicare & Medicaid Services originally issued the 1154464790 to Leslie Mark Wong on 2007-02-14.
When was the information regarding Leslie Mark Wong, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Leslie Mark Wong, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1417950320
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