NPI 1003028028

Justine Stacey Wong, DDS

Practitioner Dentist Carson City, NV

Practice location

Address: 917 Mountain Street, Carson City, NV 89703
Phone: (775) 888-6887

Registered specialties (2)

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4599 (NV)

Other Dentist providers in Nevada →

Dentist

Dental Providers Taxonomy 122300000X Licence 35568 (CA)

Registry record

NPI: 1003028028
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.