Individual
VICTORIA M WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
16400 SOUTHCENTER PKWY, SUITE 103, TUKWILA, WA 98188-3335
(206) 575-0400
(206) 575-6469
Mailing address
16400 SOUTHCENTER PKWY, SUITE 103, TUKWILA, WA 98188-3335
(206) 575-0400
(206) 575-6469
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010495
WA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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