Individual
JENNY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
20011 BALLINGER WAY NE STE B-100, SHORELINE, WA 98155-1286
(206) 876-8962
Mailing address
802 NE 66TH ST APT 419, SEATTLE, WA 98115-5592
(781) 244-8077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61186180
WA
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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