Individual
KERI ANNE JUN LAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6020 35TH AVE SW, SEATTLE, WA 98126-3002
(206) 461-6966
(206) 461-6968
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RR60390607
WA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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