Organization
DR. VONNY NGANTUNG
Active
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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