Provider Demographics
NPI:1043362171
Name:WONG, HONPING (DDS)
Entity Type:Individual
Prefix:MS
First Name:HONPING
Middle Name:
Last Name:WONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44439 17TH ST W STE 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2854
Mailing Address - Country:US
Mailing Address - Phone:661-949-0390
Mailing Address - Fax:661-948-7040
Practice Address - Street 1:44439 17TH ST. W
Practice Address - Street 2:STE 103
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534
Practice Address - Country:US
Practice Address - Phone:661-949-0390
Practice Address - Fax:661-948-7040
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice