1. Home
  2. Directory
  3. California
  4. Granada Hills
  5. Dentist
  6. NPI Profile

MARISE BRENDA WONG DDS
NPI 1053190280
Dentist in Granada Hills, CA

Active since September 26, 2023
17437 CHATSWORTH ST, GRANADA HILLS, CA 91344(818) 368-6694 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marise Brenda Wong Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISE BRENDA WONG DDS (NPI 1053190280) is an individual dentist in Granada Hills, California, licensed in California (109142) and active in the NPI registry since September 2023. She maintains a secondary practice location in Hacienda Heights.

NPPES Registry Identity

NPI1053190280
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARISE BRENDA WONGCredential: DDS
Location Address17437 CHATSWORTH STGranada Hills, CA 91344-5718
Mailing Address1175 S Longhill WayMonterey Park, CA 91754-4418 · (323) 365-7282
Phone(818) 368-6694
Sole ProprietorYes
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1053190280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 109142
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17437 CHATSWORTH ST, Granada Hills, CA 91344
Open in Google Maps ↗

Secondary Practice Location 1

Location 12545 S Hacienda BlvdHacienda Heights, CA 91745-4706 · Phone (626) 961-1574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marise Wong's NPI number?

The NPI number for Marise Wong is 1053190280. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Marise Wong located?

Marise Wong practices at 17437 Chatsworth St, Granada Hills, CA 91344. The listed phone number is (818) 368-6694.

What is Marise Wong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Marise Wong was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.