Individual provider · Type 1 NPI
Jonathan James Wong, DDS
Pediatric Dentistry · Rancho Mission Viejo, CA
NPI number
1275277485
Active
Practice location
30492 Gateway Pl Ste 220
Rancho Mission Viejo, CA 92694-1899
Mailing address
760 Washington Blvd Apt 103
Marina Del Rey, CA 90292-6679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 110073 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1275277485
Jonathan James Wong, DDS's National Provider Identifier is 1275277485, issued on Apr 24, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rancho Mission Viejo, CA. The record was last updated on Sep 23, 2025.