Michael Dennis Wong in Santa Monica - General Practice
Michael Dennis Wong - NPI 1417093402
Michael Dennis Wong is a General Practice in Santa Monica, California. Michael Dennis Wong practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Dennis Wong is 1417093402. The last update date is 2007-07-08.
Michael Dennis Wong's current location address is 1304 15th St, Santa Monica, California. You can contact this provider via phone number 3104513139 and fax number 3103947578. The mailing address for Michael Dennis Wong is 1304 15th St, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dennis Wong |
|---|---|
| Address | 1304 15th St, Santa Monica, California |
| Phone Number | 3104513139 |
| Fax Number | 3103947578 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417093402 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1304 15th St |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904041809 |
| Phone Number | 3104513139 |
| Fax Number | 3103947578 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25043 |
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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 unique provider identifier assigned to Michael Dennis Wong?
The Michael Dennis Wong has been issued the NPI (National Provider Identifier) 1417093402 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael Dennis Wong is physically located?
The Michael Dennis Wong is physically situated at the following address: 1304 15Th St, Santa Monica, CA, 904041809.
What is Michael Dennis 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 Michael Dennis Wong is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Michael Dennis Wong receive the assignment of its 1417093402 from the Centers for Medicare & Medicaid Services?
The Michael Dennis Wong was issued its 1417093402 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the information regarding Michael Dennis Wong, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Dennis Wong, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1972506228
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