Individual
DR. ANNA EE SING WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
165 WESTGATE DR, BROCKTON, MA 02301-1821
(347) 382-0056
Mailing address
301 E 22ND ST APT 9M, NEW YORK, NY 10010-4821
(347) 382-0056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858439
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2019
Last updated
08/05/2019
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