Organization
SALMON CREEK ORAL SURGERY & PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W WONG DMD (PRESIDENT)
(360) 695-2400
Entity
Organization
Contact information
Practice address
14411 NE 20TH AVE, SUITE 111, VANCOUVER, WA 98686-6431
(360) 695-2400
(360) 906-1116
Mailing address
14411 NE 20TH AVE, SUITE 111, VANCOUVER, WA 98686-6431
(360) 695-2400
(360) 906-1116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5774
WA
Other
Enumeration date
06/27/2007
Last updated
09/18/2007
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