Organization
DR. VONNY NGANTUNG
Active
Other names
Northwest Orthodontic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VONNY NGANTUNG D.D.S., M.S. (ORTHODONTIST)
(503) 588-7611
Entity
Organization
Contact information
Practice address
482 LANCASTER DR NE, SALEM, OR 97301-4784
(503) 588-7611
(503) 588-7551
Mailing address
482 LANCASTER DR NE, SALEM, OR 97301-4784
(503) 588-7611
(503) 588-7551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8294
OR
Other
Enumeration date
04/19/2007
Last updated
08/12/2008
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