Organization
STEPHEN Y. PONG, D.D.S., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN Y. PONG D.D.S. (GENERAL DENTIST/ OWNER)
(253) 927-7777
Entity
Organization
Contact information
Practice address
2122 SW 336TH ST, FEDERAL WAY, WA 98023-2883
(253) 927-7777
(253) 927-6319
Mailing address
2122 SW 336TH ST, FEDERAL WAY, WA 98023-2883
(253) 927-7777
(253) 927-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
602955173
WA
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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