Individual
DR. PATRICK ELLIOTT WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3000 GASTON AVE, DALLAS, TX 75226
(214) 828-8228
Mailing address
5013 HUMMINGBIRD LN, PLANO, TX 75093-7527
(972) 809-7187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
33014
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
33014
TX
Other
Enumeration date
07/20/2017
Last updated
07/21/2021
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