Individual
DR. BERNICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
875 PARK AVE, SUITE 1E, NEW YORK, NY 10075-0382
(347) 751-3053
Mailing address
875 PARK AVE, SUITE 1E, NEW YORK, NY 10075-0382
(347) 751-3053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058617
NY
Other
Enumeration date
06/28/2015
Last updated
10/03/2018
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