Jake Wong DDS PC

NPI #1013385541 in Brooklyn, New York

Provider Information

NPI Number: 1013385541
Entity Type: Organization
Organization Name: Jake Wong DDS PC
Primary Specialty: Dentist
Enumeration Date: Sep 15, 2015
Last Updated: Sep 15, 2015

Practice Location

Address: 8684 15TH AVE
City: Brooklyn
State: New York
ZIP Code: 11228-3409
Phone: (718) 256-5858

Authorized Official

Name: DR. JAKE H WONG, D.D.S.
Title: DENTIST OWNER
Phone: (718) 256-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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