James Wong Dental Corp.
Organization Active NPI General Practice Dentistry · Maywood, CA
NPI 1073667945 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1073667945
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 42713 (CA)
- Legal business name
- JAMES WONG DENTAL CORP.
- Practice address
- 4509 E. Slauson Ave Ste B
Maywood, CA 90270-2954 - Phone
- (323) 771-6000
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James T Wong, DDS
- Title
- Dentist
- Phone
- (323) 771-6000
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Corona Dental Center
Locations
4509 Slauson Ave
Ste B
Maywood, CA 90270
Phone (323) 560-8999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 42713 | CA | Yes |
Addresses
Primary practice location
4509 E. Slauson Ave Ste B
Maywood, CA 90270-2954
Mailing address
4509 E. Slauson Ave Ste B
Maywood, CA 90270-2954
Phone (323) 771-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G93151-02 | Medicaid | CA |
Other names
- Maywood Dental Center
Other providers in Maywood, CA
- Health Access for All, Inc
- Heru Wiredja,DDS,Inc
- Anh D. Hoang
- Zhongwen Huang
- Infinity Care of Maywood
- James Wong Dental Corp.
- Javier Antonio Jardon
- Javier a Jardon MD Medical Corporation
- Jose Clemente Navarrete M D Inc
- Jose R. Torres D.D.S., Inc.
All providers in Maywood, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.