Individual
DR. QING WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1620 DUVALL AVE NE STE B, RENTON, WA 98059-3975
(425) 235-4830
Mailing address
1620 DUVALL AVE NE STE B, RENTON, WA 98059-3975
(425) 235-4830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE60770716
WA
Other
Enumeration date
09/12/2017
Last updated
06/23/2022
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