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Stephen Takashi Gong Wat, DDS
Oral and Maxillofacial Surgery (Dentist) in Fremont, California
NPI 1902112329

Stephen Takashi Gong Wat is a Oral and Maxillofacial Surgery (Dentist) based in Fremont, CA and is specialized in Oral and Maxillofacial Surgery. Stephen Takashi Gong Wat practices in Fremont, CA and has the professional credentials of DDS. The NPI Number for Stephen Takashi Gong Wat is 1902112329 and holds a License No. 54677 (California).

The current practice location address for Stephen Takashi Gong Wat is 38149 Martha Ave, Fremont, CA and can be reached out via phone at 510-797-4430 and via fax at 510-797-4615.

Location: 38149 Martha Ave, Fremont, CA, 94536-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902112329
Provider Name
Stephen Takashi Gong Wat
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
38149 Martha Ave, Fremont, CA, 94536-3800
Phone Number
510-797-4430
Fax Number
510-797-4615
Provider Enumeration Date
08/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
38149 Martha Ave
City
Fremont
State
California
Zip
94536-3800
Phone Number
510-797-4430
Fax Number
510-797-4615
person
Provider Business Mailing Address Details
Address
38149 Martha Ave
City
Fremont
State
California
Zip
94536-3800
Phone Number
510-797-4430
Fax Number
510-797-4615
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
54677 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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