Healthcare Provider Details

I. General information

NPI: 1538037809
Provider Name (Legal Business Name): DARREN D WONG DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 N KNOLL RD STE 6
MILL VALLEY CA
94941-1665
US

IV. Provider business mailing address

7 N KNOLL RD STE 6
MILL VALLEY CA
94941-1665
US

V. Phone/Fax

Practice location:
  • Phone: 415-388-5151
  • Fax:
Mailing address:
  • Phone: 415-388-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. DARREN D.K. WONG
Title or Position: OWNER/CEO
Credential: DDS
Phone: 925-956-2002