Individual
DR. ARIEL BIRU WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
110B N AVON AVE, AVON, IN 46123-8475
(317) 272-7206
Mailing address
450 E OHIO ST APT 211, INDIANAPOLIS, IN 46204-2675
(317) 523-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10087
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12013004A
IN
Other
Enumeration date
05/26/2018
Last updated
08/07/2020
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