Individual
WING DJAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1230 GEORGE ST, WOODBURN, OR 97071
(503) 981-3603
Mailing address
1230 GEORGE ST, WOODBURN, OR 97071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7332
OR
Other
Enumeration date
05/12/2006
Last updated
06/03/2015
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