SIMON WONG DDS INC
NPI 1366064859
Clinic/Center - Dental in Glendale, CA
Active since May 07, 2020
About Simon Wong Dds Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMON WONG DDS INC (NPI 1366064859) is a healthcare organization registered as a dental in Glendale, California and active in the NPI registry since May 2020. The organization lists Simon Wong, President, as its authorized official.
NPPES Registry Identity
NPI1366064859
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSIMON WONG DDS INC
Location Address1111 N BRAND BLVD STE BGlendale, CA 91202-3072
Mailing Address1111 N Brand Blvd Ste BGlendale, CA 91202-3072 · (818) 246-4068
Phone(818) 246-4068
Organization SubpartNo
Authorized OfficialSimon WongPresident · (626) 354-9667
Enumeration DateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1366064859 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1111 N BRAND BLVD STE B, Glendale, CA 91202
Other Names 1
Doing Business AsSimon Wong Dds Inc
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366064859, enumerated as an "organization" on May 07, 2020.
The provider is located at 1111 N BRAND BLVD STE B GLENDALE, CA 91202 and the phone number is (818) 246-4068.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
