Individual provider · Type 1 NPI
Garrick Fredrick Wong, DMD, M.M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Cos Cob, CT
Practice location
453 E Putnam Ave Ste 2
Cos Cob, CT 06807-2546
Fax (203) 625-9889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 007476 (CT) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1700187119
Garrick Fredrick Wong, DMD, M.M.S.'s National Provider Identifier is 1700187119, issued on Nov 16, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Cos Cob, CT. The record was last updated on Oct 3, 2019.