Individual
STEPHEN Y PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
780 8TH AVE S. SUITE 100, SEATTLE, WA 98104-3033
(206) 788-3700
(206) 788-3706
Mailing address
PO BOX 24911, SEATTLE, WA 98124-0911
(206) 788-3612
(206) 652-5216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010069
WA
Other
Enumeration date
02/27/2007
Last updated
09/25/2007
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