Craig William Wong DMD

NPI 1841228061 - Dentist - 1223S0112X

NPI Details
NPI 1841228061
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
14411 NE 20TH AVE
SUITE 100
VANCOUVER WA, 98686-6431, US
Phone (360) 695-2400
Fax (360) 906-1116
Business Location
14411 NE 20TH AVE
SUITE 100
VANCOUVER WA, 98686-6431, US
Phone (360) 695-2400
Fax (360) 906-1116
Toxanomy
Taxonomy Code 1223S0112X
License State Washington
License Number WA5774
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According to our database, Dr. Craig William Wong DMD NPI is 1841228061, taxonomy code is 1223S0112X and license number is WA5774, license state is located at Washington. Craig William Wong DMD physically located at 14411 Ne 20th Ave, Vancouver WA, 98686-6431. NPI Number Craig William Wong DMD has the Individual type.

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1841228061 NPI number is provided on an as is basis without warranty of any kind. 1841228061 is maintained by the National Plan & Provider Enumeration System. The contents of Craig William Wong DMD are for informational purposes only.