Individual provider · Type 1 NPI
Jacqueline Wong, DMD, M.M.SC.
Periodontics · San Francisco, CA
NPI number
1962616235
Active
Practice location
1998 Broadway, Apt 1207
San Francisco, CA 94109-2281
Fax (415) 346-8698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 53490 (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 1962616235
Jacqueline Wong, DMD, M.M.SC.'s National Provider Identifier is 1962616235, issued on May 9, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.