Individual
DR. DIANE M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
150 55TH ST, NYU LUTHERAN MEDICAL CENTER - DENTAL, BROOKLYN, NY 11220-2508
(718) 630-6875
Mailing address
150 55TH ST, NYU LUTHERAN MEDICAL CENTER - DENTAL, BROOKLYN, NY 11220-2508
(718) 630-6875
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
046946
NY
Other
Enumeration date
10/04/2006
Last updated
08/27/2015
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