| Bajwa Wong Pllc | |
|
640 Nw Gilman Blvd Ste 100 Issaquah WA 98027-2476 | |
| (425) 507-2888 | |
| (425) 507-2887 |
| Full Name | Bajwa Wong Pllc |
|---|---|
| Speciality | Dentist |
| Location | 640 Nw Gilman Blvd Ste 100, Issaquah, Washington |
| Authorized Official Name and Position | Sofia Segura (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5099012239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bajwa Wong Pllc 640 Nw Gilman Blvd Ste 100 Issaquah WA 98027-2476 Ph: (425) 507-2888 | Bajwa Wong Pllc 640 Nw Gilman Blvd Ste 100 Issaquah WA 98027-2476 Ph: (425) 507-2888 |
| NPI Number | 1407476484 |
|---|---|
| Provider Enumeration Date | 04/20/2020 |
| Last Update Date | 04/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407476484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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