Individual
TRISTAN S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2225 PACIFIC BLVD SE, SUITE 201, ALBANY, OR 97321-7907
(541) 928-4300
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(541) 928-4300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10085
OR
Other
Enumeration date
07/25/2014
Last updated
05/18/2015
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