Bryan Wong

NPI #1629556972 in Frisco, Texas

Provider Information

NPI Number: 1629556972
Entity Type: Individual
Name: Bryan Wong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jul 30, 2018
Last Updated: Jul 30, 2018

Practice Location

Address: 5110 MAIN ST STE 300
City: Frisco
State: Texas
ZIP Code: 75033-2970
Phone: (972) 377-5990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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