Organization
INTEGRATED ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON DUONG DDS (MEMBER)
(347) 464-8378
Entity
Organization
Contact information
Practice address
355 OVINGTON AVE STE 101, BROOKLYN, NY 11209-1457
(718) 833-2880
Mailing address
429 85TH ST, BROOKLYN, NY 11209-4705
(347) 464-8378
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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