Kenneth C K Wong
Oral and Maxillofacial Surgeon
6514 Lonetree Blvd
Rocklin
, California 95765
Kenneth C K Wong
Oral and Maxillofacial Surgeon
6514 Lonetree Blvd
Rocklin
, California 95765
(916) 797-0700
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Kenneth C K Wong
- 6514 Lonetree Blvd
- Rocklin, CA
- Zip : 95765
- Fax : (916) 797-0700
- Phone : (916) 797-2700
Second Address
- Kenneth C K Wong
- 6514 Lonetree Blvd
- Rocklin, CA
- Zip : 95765
- Fax : (916) 797-0700
- Phone : (916) 797-2700
Reviews
FAQs
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Is Kenneth C K Wong a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 47824 | CA |
National Provider Identifier
| NPI | 1104995307 |
|---|---|
| Provider Name | Kenneth C K Wong |
| First Address | Rocklin, CA 95765 |
| Second Address | Rocklin, CA 95765 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 19/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V06713 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.