Wong, Stefanie

Wong, Stefanie is an individual health care provider with primary practice located at One Lyons Street , Dedham MA 02026. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Wong, Stefanie can be contacted via phone (781) 329-1400.

Contact Information

Primary practice address
One Lyons Street Dedham MA 02026
Fax: (781) 278-5667
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19821 Massachusetts

Profile Details

NPI number 1023027745
LBN Legal business name Wong, Stefanie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023027745 NPPES
Other AA45100 FIRST SENIORITY
Other 0022795 FIRST SENIORITY
Other AA45100 FIRST SENIORITY
Other AA45100 FIRST SENIORITY
Other AA45100 FIRST SENIORITY
Other V06218 FIRST SENIORITY

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