Individual
STEPHEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2000
Mailing address
2100 STANLEY ST APT 314, NEW BRITAIN, CT 06053-1551
(860) 964-9663
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CT
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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