Organization
JAKE WONG DDS PC
Active
Other names
FirstCare Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE H WONG D.D.S. (DENTIST OWNER)
(718) 256-5858
Entity
Organization
Contact information
Practice address
8684 15TH AVE, BROOKLYN, NY 11228-3409
(718) 256-5858
(646) 357-1579
Mailing address
8684 15TH AVE, BROOKLYN, NY 11228-3409
(718) 256-5858
(646) 357-1579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057893
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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