Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH C K WONG, DDS
ActiveKENNETH C K WONG, DDS is a Oral & Maxillofacial Surgery healthcare provider located in ROCKLIN, California. NPI 1104995307 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · ROCKLIN, CA
Registration Details
- NPI Number
- 1104995307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2006 (19.796586896814 yrs)
- Last Updated
- Oct 19, 2007
- License
-
47824 (CA)
Practice Information
- Address
-
6514 LONETREE BLVDROCKLIN, CA, 95765Browse CA providers · Browse ZIP 95765
- Phone
- 9167972700
- Fax
- 9167970700
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in ROCKLIN, CA
| Name | Credential | NPI |
|---|---|---|
| JARED B. ANTROBUS | DDS | 1356540645 |
| MICHAEL KNUTSON | — | 1407147341 |
| AUSTIN DANIEL ECKARD | D.M.D. | 1710391123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.