Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marise Brenda Wong, DDS

Individual provider Dentist · NPI 1053190280

Marise Brenda Wong, DDS is a Dentist in Granada Hills, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

17437 Chatsworth St
Granada Hills, CA 91344-5718
Phone: (818) 368-6694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2545 S Hacienda Blvd, Hacienda Heights, CA 91745-4706 — (626) 961-1574

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109142 (CA)

Record details

NPI number1053190280
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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