Brian Wong DDS PA

NPI #1003465212 in Frisco, Texas

Provider Information

NPI Number: 1003465212
Entity Type: Organization
Organization Name: Brian Wong DDS PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 9300 WADE BLVD STE 210
City: Frisco
State: Texas
ZIP Code: 75035-2175
Phone: (972) 668-5608

Authorized Official

Name: BRIAN WONG, DDS
Title: OWNER
Phone: (972) 668-5608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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