| 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 |