Organization
FAIRFIELD ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE WONG D.D.S. (DENTIST)
(203) 325-3636
Entity
Organization
Contact information
Practice address
999 SUMMER ST, SUITE 301, STAMFORD, CT 06905-5546
(203) 325-3636
(203) 325-1268
Mailing address
999 SUMMER ST, SUITE 301, STAMFORD, CT 06905-5546
(203) 325-3636
(203) 325-1268
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
008260
CT
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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