Individual provider · Type 1 NPI

Jonathan S. Wong, DDS

Periodontics · Ventura, CA

NPI number 1508089335 Active

Practice location

1190 S Victoria Ave, Suite 305
Ventura, CA 93003-6507

Mailing address

204 Pirie Rd # B
Ojai, CA 93023-3135

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X51675 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1508089335

Jonathan S. Wong, DDS's National Provider Identifier is 1508089335, issued on Apr 10, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Ventura, CA. The record was last updated on Sep 18, 2009.