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Jacqueline Wong, DMD,MMSC
Periodontist in San Francisco, California
NPI 1962616235

Jacqueline Wong is a Periodontist based in San Francisco, CA and is specialized in Periodontics. Jacqueline Wong practices in San Francisco, CA and has the professional credentials of DMD,MMSC. The NPI Number for Jacqueline Wong is 1962616235 and holds a License No. 53490 (California).

The current practice location address for Jacqueline Wong is 1998 Broadway, San Francisco, CA and can be reached out via phone at 415-317-6430 and via fax at 415-346-8698.

Location: 1998 Broadway, San Francisco, CA, 94109-2281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962616235
Provider Name
Jacqueline Wong
Credential
DMD,MMSC
Provider Entity Type
Individual
Gender
Female
Address
1998 Broadway, San Francisco, CA, 94109-2281
Phone Number
415-317-6430
Fax Number
415-346-8698
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1998 Broadway
City
San Francisco
State
California
Zip
94109-2281
Phone Number
415-317-6430
Fax Number
415-346-8698
person
Provider Business Mailing Address Details
Address
1998 Broadway
City
San Francisco
State
California
Zip
94109-2281
Phone Number
415-317-6430
Fax Number
415-346-8698
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
53490 (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.
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