| Dr Phillip Wong, DMD | |
|
9732 Nw 32nd St, Doral, FL 33172-1030 | |
| (317) 593-5375 | |
| Not Available |
| Full Name | Dr Phillip Wong |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Radiology |
| Location | 9732 Nw 32nd St, Doral, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417331067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12012872A (Indiana) | Secondary |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | DN30000 (Florida) | Primary |
| Entity Name | Indiana University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689790552 PECOS PAC ID: 6002806957 Enrollment ID: O20040602001625 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Wong, DMD 9732 Nw 32nd St, Doral, FL 33172-1030 Ph: (317) 593-5375 | Dr Phillip Wong, DMD 9732 Nw 32nd St, Doral, FL 33172-1030 Ph: (317) 593-5375 |
Milagritos Rios Ku Hop, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 9915 Costa Del Sol Blvd, Doral, FL 33178 Phone: 786-488-3009 | |
Dr. Andrew Hoseung Ryu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3601 Nw 107th Ave, 3rd Floor, Doral, FL 33178 Phone: 305-418-7771 | |
Livet Boffil, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10540 Nw 78th St Apt 5-410, Doral, FL 33178 Phone: 305-798-4583 | |
Roxana Bonachea, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10769 Nw 58th St # B103, Doral, FL 33178 Phone: 305-471-7575 | |
Dr. Juan Gabriel Llano, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3650 Nw 82 Avenue, Suite 303, Doral, FL 33166 Phone: 305-477-7668 | |
Dr. Luis C Collazos, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 8601 Nw 58th St, Doral, FL 33166 Phone: 305-513-4116 | |
Dr. Jonathan Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10818 Nw 58th St, Doral, FL 33178 Phone: 305-477-7601 |