Individual provider · Type 1 NPI

Marise Brenda Wong, DDS

Dentist · Granada Hills, CA

NPI number 1053190280 Active

Practice location

17437 Chatsworth St
Granada Hills, CA 91344-5718

Mailing address

1175 S Longhill Way
Monterey Park, CA 91754-4418

Other practice locations

  • 2545 S Hacienda Blvd, Hacienda Heights, CA 91745-4706 · (626) 961-1574

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X109142 (CA)

Dentist: 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1053190280

Marise Brenda Wong, DDS's National Provider Identifier is 1053190280, issued on Sep 26, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Granada Hills, CA. The record was last updated on Sep 26, 2023.