IndividualActive
Taylor Chock-Wong
NPI 1871223545 · Dental Anesthesiology · Corona, CA
Provider details
- NPI number
- 1871223545
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 111821 (CA)
Specialties & taxonomies
Dental Providers
Practice location
160 W Foothill Pkwy Ste 105-244
Corona, CA 92882-8545
Phone: (650) 282-4171
Approximate (ZIP-level) locationGet directions
Mailing address
160 W Foothill Pkwy Ste 105-244
Corona, CA 92882-8545
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.