Stephen Takashi Gong Wat, DDS is an oral and maxillofacial surgery dentist in Fremont, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Stephen Takashi Gong Wat, DDS NPI is 1902112329. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
38149 MARTHA AVE
FREMONT, CA
ZIP 94536-800
Phone: (510) 797-4430
Fax: (510) 797-4615
The enumeration date for this NPI number is 8/23/2010 and was last updated on 8/23/2010.