Wong Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63752 Issued in CA

Legal business name

WONG DENTAL CORPORATION

Practice address

626 S 2ND Ave
Covina, CA 91723-3517

Phone

(626) 332-0013

NPI assigned

Feb 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lin Lin Wong, DMDNPI 1366842643

Title

President

Phone

(626) 332-0013

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lin Lin Wong

  • Dentist
  • Covina, CA
  • NPI 1366842643
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1316485238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-332-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "LIN",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-332-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenden Wohlwend
• Joshua Wolak, B.A.
• Krysten Nicole Wolak, SLP
• Melanie Wolf
• Michael E Wolf, MD, MS
• Brian Russell Wong, D.D.S.
• Ching Ching Wong, RD
• Jennie C Wong, NP
• Lin Lin Wong
• Mark Wong, M.S., D.D.S.

• General Practice Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.