Dr. Vivian Ka Yan Wong, DDS
Dentist in New York, NY. Individual provider (NPI-1).
NPI number1982199972
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1982199972
- Entity type
- Individual (NPI-1)
- Name
- Dr. Vivian Ka Yan Wong
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 064617 | NY | Yes |
| 122300000X | Dentist | DEN.00204377 | CO | |
| 122300000X | Dentist | DEN1001887 | DC |
Practice location
505 Park AveNew York, NY 10022-1106
Phone 917-694-3685
Mailing address
6 Peter Cooper Rd Apt 11eNew York, NY 10010-6704
Phone 678-467-7063
Other practice locations
8890 N Union Blvd Ste 209
Colorado Springs, CO 80920-2701
Colorado Springs, CO 80920-2701
Phone 719-260-1600
5944 Stetson Hills Blvd Ste 100
Colorado Springs, CO 80923-3506
Colorado Springs, CO 80923-3506
Phone 719-394-3444
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