Individual
DR. PHILLIP WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
9732 NW 32ND ST, DORAL, FL 33172-1030
(317) 593-5375
Mailing address
9732 NW 32ND ST, DORAL, FL 33172-1030
(317) 593-5375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012872A
IN
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DN30000
FL
Other
Enumeration date
07/14/2015
Last updated
08/03/2025
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