Individual
MRS. EDITH WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
716 W MAIN ST, CENTRALIA, WA 98531-2847
(360) 736-0795
(360) 330-1637
Mailing address
716 W MAIN ST, CENTRALIA, WA 98531-2847
(360) 736-0795
(360) 330-1637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9545
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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