# WONG HSU ON SU & LIAO DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Renton Dental Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558768739
- **Authorized official:** DR. CINDY ON DDS (OWNER)
- **Authorized official phone:** (206) 234-4179

## Contact information

- **Practice address:** 601 S CARR RD, SUITE 400, RENTON, WA 98055-5866
- **Practice address phone:** (425) 228-1033
- **Practice address fax:** (425) 226-2308
- **Mailing address:** 601 S CARR RD, SUITE 400, RENTON, WA 98055-5866
- **Mailing address phone:** (425) 228-1033
- **Mailing address fax:** (425) 226-2308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |

## Other

- **Enumeration date:** 12/03/2014
- **Last updated:** 12/03/2014