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Provider Information for 1083650006

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. RAYMOND WONG LIM DDS

Gender: MALE

Individual NPI: 1083650006

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1083650006
Enumeration Date 2006-06-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1525 MERIDIAN AVE SUITE 104
SAN JOSE, CA 95125-5354
United States

Phone: 408-978-1888 | Fax: 408-978-1936
View Map External Link
Primary Practice Address 1525 MERIDIAN AVE SUITE 104
SAN JOSE, CA 95125-5354
United States

Phone: 408-978-1888 | Fax: 408-978-1936
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 25167