Individual
DR. GRANT J WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4215 RAINIER AVE S, SEATTLE, WA 98118-1356
(206) 723-1877
Mailing address
4215 RAINIER AVE S # A, SEATTLE, WA 98118-1356
(206) 723-1877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE8803
WA
Other
Enumeration date
10/06/2006
Last updated
08/23/2016
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