Individual
DR. MARK T NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14820 PACIFIC AVE S, TACOMA, WA 98444-4655
(253) 537-9317
(253) 537-1371
Mailing address
16902 120TH AVE E, PUYALLUP, WA 98374-9588
(253) 548-4372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009680
WA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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