| Stephen Y. Pong, D.d.s., P.l.l.c. | |
|
2122 Sw 336th St Federal Way WA 98023-2883 | |
| (253) 927-7777 | |
| (253) 927-6319 |
| Full Name | Stephen Y. Pong, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2122 Sw 336th St, Federal Way, Washington |
| Authorized Official Name and Position | Stephen Y. Pong (GENERAL DENTIST/ OWNER) |
| Authorized Official Contact | 2539277777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Y. Pong, D.d.s., P.l.l.c. 2122 Sw 336th St Federal Way WA 98023-2883 Ph: (253) 927-7777 | Stephen Y. Pong, D.d.s., P.l.l.c. 2122 Sw 336th St Federal Way WA 98023-2883 Ph: (253) 927-7777 |
| NPI Number | 1902130560 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902130560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 602955173 (Washington) | Primary |
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