Individual
FABIAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
577 PROSPECT AVE APT 11, WEST HARTFORD, CT 06105-2924
(216) 804-0014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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