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Organization

DR. VONNY NGANTUNG, D.D.S, M.S.

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) 659-7455
Entity
Organization

Contact information

Practice address
12100 SE STEVENS CT, SUITE: 102, HAPPY VALLEY, OR 97086-4707
(503) 659-7455
(503) 659-7431
Mailing address
12100 SE STEVENS CT, SUITE: 102, HAPPY VALLEY, OR 97086-4707
(503) 659-7455
(503) 659-7431

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8294
OR

Other

Enumeration date
04/24/2007
Last updated
08/07/2008
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