Provider Demographics
NPI:1770793002
Name:FERRIS-WONG, CAMI ELYSE (DDS)
Entity type:Individual
Prefix:DR
First Name:CAMI
Middle Name:ELYSE
Last Name:FERRIS-WONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1525 STATE ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2500
Mailing Address - Country:US
Mailing Address - Phone:805-962-0161
Mailing Address - Fax:805-962-0418
Practice Address - Street 1:1525 STATE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2500
Practice Address - Country:US
Practice Address - Phone:805-962-0161
Practice Address - Fax:805-962-0418
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455711223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics