Individual provider · Type 1 NPI

Mark Wong, M.S., DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Covina, CA

NPI number 1942542162 Active

Practice location

320 W Badillo St, Suite 201
Covina, CA 91723-1833

Fax (626) 966-7603

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X42021 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1942542162

Mark Wong, M.S., DDS's National Provider Identifier is 1942542162, issued on Mar 26, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Covina, CA. The record was last updated on Mar 26, 2013.