Individual
KAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
4501 44TH AVE SW, SEATTLE, WA 98116-4116
(206) 935-6844
(206) 935-6844
Mailing address
4501 44TH AVE SW, SEATTLE, WA 98116-4116
(206) 935-6844
(206) 935-6844
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
25108DN32
WA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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