Individual provider · Type 1 NPI
Kenneth C. K. Wong, DDS
Oral and Maxillofacial Surgery (Dentist) · Rocklin, CA
NPI number
1104995307
Active
Practice location
6514 Lonetree Blvd
Rocklin, CA 95765
Fax (916) 797-0700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 47824 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Rocklin
About NPI 1104995307
Kenneth C. K. Wong, DDS's National Provider Identifier is 1104995307, issued on Nov 6, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rocklin, CA. The record was last updated on Oct 19, 2007.