Individual
STEPHEN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-0903
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6365
(206) 543-0903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7956
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2024
Last updated
11/18/2024
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