Provider Demographics
NPI:1477247690
Name:NG, SZE WING (DMD)
Entity Type:Individual
Prefix:
First Name:SZE WING
Middle Name:
Last Name:NG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 JUNCTION BLVD APT 3623
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-4709
Mailing Address - Country:US
Mailing Address - Phone:415-601-8198
Mailing Address - Fax:
Practice Address - Street 1:8008 WALERGA RD STE 100
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-9003
Practice Address - Country:US
Practice Address - Phone:916-725-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1088431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice