Provider Demographics
NPI:1992940076
Name:WONG, DEBBY HOI-YEE (DMD)
Entity type:Individual
Prefix:DR
First Name:DEBBY
Middle Name:HOI-YEE
Last Name:WONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 MCKINNEY AVE
Mailing Address - Street 2:APT. 577
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2016
Mailing Address - Country:US
Mailing Address - Phone:917-864-0609
Mailing Address - Fax:
Practice Address - Street 1:4050 W I-20
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1435
Practice Address - Country:US
Practice Address - Phone:917-864-0609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053303-11223X0400X
TX245061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics