Individual
DR. GARRICK FREDRICK WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.M.S.
Contact information
Practice address
453 E PUTNAM AVE STE 2, COS COB, CT 06807-2546
(203) 625-9888
(203) 625-9889
Mailing address
453 E PUTNAM AVE STE 2, COS COB, CT 06807-2546
(203) 622-9197
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
007476
CT
Other
Enumeration date
11/16/2010
Last updated
10/03/2019
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