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
—
—
Other
Enumeration date
05/11/2024
Last updated
05/21/2024
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