Organization · NPI-2

Albert G. Wong, D.M.D., P.A.

Dentist, General Practice · Plantation, FL

NPI number1679690911
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1679690911
Entity type
Organization (NPI-2)
Legal business name
Albert G. Wong, D.M.D., P.A.
Organization subpart
No
Enumeration date
Mar 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN13318FLYes

Other names

  • Oasis Dental Arts (Doing Business As)

Practice location

300 Nw 70th Ave
Suite 304
Plantation, FL 33317-2384

Phone 954-791-4100 · Fax 954-791-4680

Mailing address

300 Nw 70th Ave
Suite 304
Plantation, FL 33317-2384

Phone 954-791-4100 · Fax 954-791-4680

Authorized official

Albert G Wong
Dentist
9547914100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist, General Practice providers in Plantation, FL