Individual provider · Type 1 NPI

Samantha A. Wong, DMD

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1073103297 Active

Practice location

5000 W National Ave
Milwaukee, WI 53295-0001

Call (414) 384-2000 Map

Mailing address

238 Hawk Hollow Dr
Bartlett, IL 60103-3056

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073103297

Samantha A. Wong, DMD's National Provider Identifier is 1073103297, issued on Jan 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 21, 2021.