SearchCaliforniaPeriodontics

Jacqueline Wong, D.M.D., M.M.SC

NPI 1962616235 · on the registry since 2007 · sole proprietor

Practice

Address
1998 Broadway
Apt 1207
San Francisco, CA 94109
Phone
(415) 317-6430
Fax
(415) 346-8698

Registry record

Primary taxonomy
Periodontics
1223P0300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California