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General NPI Number Information
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NPI Number | 1790643112
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Entity Type | Organization
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Legal Business Name | PATRICIA M. WONG DDS, DENTAL PC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1530 JUDAH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1718
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Country | US
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Telephone | 415-759-8680
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Fax | 415-759-8629
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Provider Business Mailing Address
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Address Line | 1530 JUDAH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1718
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Country | US
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Telephone | 415-759-8680
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Fax | 415-759-8629
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA M WONG
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Credential | DDS
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Telephone | 415-759-8680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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