Individual
DR. CHAD WONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12845 SE 93RD AVE, CLACKAMAS, OR 97015-5735
(503) 794-1900
(503) 794-2778
Mailing address
12845 SE 93RD AVE, CLACKAMAS, OR 97015-5735
(503) 794-1900
(503) 794-2778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-7086
OR
Other
Enumeration date
11/01/2005
Last updated
07/08/2007
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