| Wallace W. Wong Dds | |
|
914 140th Ave Ne Suite 102 Bellevue WA 98005-3482 | |
| (425) 746-7126 | |
| Not Available |
| Full Name | Wallace W. Wong Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 914 140th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Wallace W Wong (PRESIDENT) |
| Authorized Official Contact | 4257467126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace W. Wong Dds 914 140th Ave Ne Suite 102 Bellevue WA 98005-3482 Ph: (425) 746-7126 | Wallace W. Wong Dds 914 140th Ave Ne Suite 102 Bellevue WA 98005-3482 Ph: (425) 746-7126 |
| NPI Number | 1417300062 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417300062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8692WA (Washington) | Primary |
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