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Organization
AWLA OLSON WONG, PLLC
Active
Organization
AWLA OLSON WONG, PLLC
Active
Other names
NORTHWEST CENTER FOR ORAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE WONG DDS, MSD (OWNER)
(425) 223-3432
Entity
Organization
Contact information
Practice address
8105 166TH AVE NE STE 103, REDMOND, WA 98052-3999
(425) 300-9056
(425) 300-9057
Mailing address
8105 166TH AVE NE STE 103, REDMOND, WA 98052-3999
(425) 300-9056
(425) 300-9057
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/11/2024
Last updated
05/21/2024
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