# STEPHEN Y. PONG, D.D.S., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902130560
- **Authorized official:** DR. STEPHEN Y. PONG D.D.S. (GENERAL DENTIST/ OWNER)
- **Authorized official phone:** (253) 927-7777

## Contact information

- **Practice address:** 2122 SW 336TH ST, FEDERAL WAY, WA 98023-2883
- **Practice address phone:** (253) 927-7777
- **Practice address fax:** (253) 927-6319
- **Mailing address:** 2122 SW 336TH ST, FEDERAL WAY, WA 98023-2883
- **Mailing address phone:** (253) 927-7777
- **Mailing address fax:** (253) 927-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 602955173 | WA | Yes |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 09/29/2009