Organization
WALLACE W. WONG DDS
Active
Organization
WALLACE W. WONG DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE W WONG DDS (PRESIDENT)
(425) 746-7126
Entity
Organization
Contact information
Practice address
914 140TH AVE NE, SUITE 102, BELLEVUE, WA 98005-3482
(425) 746-7126
Mailing address
914 140TH AVE NE, SUITE 102, BELLEVUE, WA 98005-3482
(425) 746-7126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8692WA
WA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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