Organization
BLOOMFIELD PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WONG DMD (OWNER)
(203) 927-0717
Entity
Organization
Contact information
Practice address
34 JEROME AVE STE 200, BLOOMFIELD, CT 06002-2463
(203) 927-0717
Mailing address
138 BALFOUR DR, WEST HARTFORD, CT 06117-2900
(860) 521-2316
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7829
CT
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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