Individual
BRYAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5110 MAIN ST STE 300, FRISCO, TX 75033-2970
(972) 377-5990
Mailing address
5110 MAIN ST STE 300, FRISCO, TX 75033-2970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34394
TX
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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