Individual
BRIAN WING YIU WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, YAWKEY ACC 5, BOSTON, MA 02118-2908
(617) 414-7558
Mailing address
1 BOSTON MEDICAL CTR PL, YAWKEY ACC 5, BOSTON, MA 02118-2908
(617) 414-7558
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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