Individual
PENNY WAIYAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3015 NW 56TH ST, SEATTLE, WA 98107-4250
(425) 831-1790
Mailing address
3015 NW 56TH ST APT 2, SEATTLE, WA 98107-4250
(425) 831-1790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61569916
WA
1223G0001X
General Practice Dentistry
36606
TX
Other
Enumeration date
08/20/2020
Last updated
04/01/2025
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