Vonny Ngantung D.D.S.

NPI 1760502546 - Dentist - 1223X0400X

NPI Details
NPI 1760502546
Gender Female
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1585 SW MARLOW AVE
SUITE 120
PORTLAND OR, 97225-5176, US
Phone (503) 297-1687
Fax
Business Location
1101 SE TECH CENTER DR
SUITE 195
VANCOUVER WA, 98683-5504, US
Phone
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Oregon
License Number D8294
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According to our database, Dr. Vonny Ngantung D.D.S. NPI is 1760502546, taxonomy code is 1223X0400X and license number is D8294, license state is located at Oregon. Vonny Ngantung D.D.S. physically located at 1585 Sw Marlow Ave, Portland OR, 97225-5176. NPI Number Vonny Ngantung D.D.S. has the Individual type.

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1760502546 NPI number is provided on an as is basis without warranty of any kind. 1760502546 is maintained by the National Plan & Provider Enumeration System. The contents of Vonny Ngantung D.D.S. are for informational purposes only.