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Dr. Ryan Lee Wong, DDS,MS
Periodontist in Los Angeles, California
NPI 1134651300

Ryan Lee Wong is a Periodontist based in Calabasas, CA and is specialized in Periodontics. Ryan Lee Wong practices in Los Angeles, CA and has the professional credentials of DDS,MS. The NPI Number for Ryan Lee Wong is 1134651300 and holds a License No. (California).

The current practice location address for Ryan Lee Wong is 10833 Le Conte Ave, Los Angeles, CA and can be reached out via phone at 310-825-3795 and via fax at 310-825-9653.

Location: 10833 Le Conte Ave, Los Angeles, CA, 91302-5157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134651300
Provider Name
Ryan Lee Wong
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
10833 Le Conte Ave, Los Angeles, CA, 91302-5157
Phone Number
310-825-3795
Fax Number
310-825-9653
Provider Enumeration Date
03/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10833 Le Conte Ave
City
Los Angeles
State
California
Zip
90095-1668
Phone Number
310-825-3795
Fax Number
310-825-9653
person
Provider Business Mailing Address Details
Address
10833 Le Conte Ave
City
Los Angeles
State
California
Zip
90095-1668
Phone Number
310-825-3795
Fax Number
310-825-9653
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
104808 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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