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