| NPI | 1144741737 |
|---|---|
| Other Name | BRIAN WONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D10874) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61440) |
| 1223G0001X Dentist, General Practice (Licence: KS 61440) | |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2021-09-22 |