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Dr. Ellis Charles Wong, DDS
General Practice Dentistry in Los Angeles, California
NPI 1316167711

Ellis Charles Wong is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Ellis Charles Wong practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Ellis Charles Wong is 1316167711 and holds a License No. 29004 (California).

The current practice location address for Ellis Charles Wong is 607 N Larchmont Blvd, Los Angeles, CA and can be reached out via phone at 323-464-5555 and via fax at 323-464-3075.

Location: 607 N Larchmont Blvd, Los Angeles, CA, 90004-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316167711
Provider Name
Ellis Charles Wong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
607 N Larchmont Blvd, Los Angeles, CA, 90004-1307
Phone Number
323-464-5555
Fax Number
323-464-3075
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
607 N Larchmont Blvd
City
Los Angeles
State
California
Zip
90004-1307
Phone Number
323-464-5555
Fax Number
323-464-3075
person
Provider Business Mailing Address Details
Address
607 N Larchmont Blvd
City
Los Angeles
State
California
Zip
90004-1307
Phone Number
323-464-5555
Fax Number
323-464-3075
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
29004 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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