NPI | 1003465212 |
---|---|
Doing Business As | BRIAN WONG DDS |
Entity Type | Organization |
Authorized Contact | BRIAN WONG Owner 972-668-5608 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |