Most Relevant Information
Provider Data
| NPI Number: | 1003321514 |
| Provider Name: | KIT LING WONG DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 11927 |
Most Important Dates
| Enumeration Date: | 12/06/2017 |
| Last Updated: | 12/06/2017 |
Provider Practice Location
99 PROSPECT ST # 1C
STAMFORD
CT
069011636
Practice Location Phone/Fax
| Phone: | 2035042786 |
| Fax: | 2035042786 |
Provider Mailing Location
16015 STATION RD
FLUSHING
NY
113584115
Provider Mailing Phone/Fax
| Phone: | 6469194897 |
| Fax: |