DR. Garrick Fredrick Wong, D.M.D., M.M.S.
NPI #1700187119 in Cos Cob, Connecticut
Provider Information
- NPI Number
- 1700187119
- Entity Type
- Individual
- Name
- DR. Garrick Fredrick Wong, D.M.D., M.M.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.M.D., M.M.S.
- Enumeration Date
- Nov 16, 2010
- Last Updated
- Oct 3, 2019
Practice Location
- Address
- 453 E PUTNAM AVE STE 2
- City
- Cos Cob
- State
- Connecticut
- ZIP Code
- 06807-2546
- Phone
- (203) 625-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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