Individual
ALBERT WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
26401 PACIFIC HWY S STE 201, DES MOINES, WA 98198-9247
(206) 870-3600
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61309778
WA
1223G0001X
General Practice Dentistry
DE61309778
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2021
Last updated
01/17/2025
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