Individual
TERRY M WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 6TH AVE S, SEATTLE, WA 98104-2713
(206) 682-4166
(206) 682-0544
Mailing address
307 6TH AVE S, SEATTLE, WA 98104-2713
(206) 682-4166
(206) 682-0544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4820
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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