Individual
DR. KAI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
70 W 36TH ST, 10A, NEW YORK, NY 10018-8007
(212) 684-2868
Mailing address
70 W 36TH ST, 10A, NEW YORK, NY 10018-8007
(212) 684-2868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02360772
—
NY
Enumeration date
11/23/2005
Last updated
11/13/2014
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