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1417331067
PHILLIP WONG
INDIANAPOLIS, IN
NPI
1417331067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012872A)
Enumeration Date
2015-07-14
Last Update Date
2020-10-13
Business Address
Dr. PHILLIP WONG D.M.D
1121 W MICHIGAN ST # S110B
INDIANAPOLIS, IN 46202-5211
Phone number: 317-593-5375
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Mailing Address
Dr. PHILLIP WONG D.M.D
1121 W MICHIGAN ST # S110B
INDIANAPOLIS, IN 46202-5211
Phone number: 317-593-5375
Copy
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