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Organization
FAIRFIELD ENDO, PC
Active
Organization
FAIRFIELD ENDO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE WONG DDS (PRESIDENT/DENTIST)
(203) 325-3636
Entity
Organization
Contact information
Practice address
999 SUMMER ST STE 301, STAMFORD, CT 06905-5513
(203) 325-3636
(203) 253-1268
Mailing address
999 SUMMER ST STE 301, STAMFORD, CT 06905-5513
(203) 325-3636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043364102
DENTAL
CT
Enumeration date
01/02/2023
Last updated
01/02/2023
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