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Individual
DR. JACQUELINE J WONG
Active
Individual
DR. JACQUELINE J WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60657443
WA
122300000X
Dentist
RR 60576274
WA
125Q00000X
Oral Medicine Dentistry
DE60657443
WA
Other
Enumeration date
02/04/2016
Last updated
10/23/2025
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