Bajwa Wong Pllc

NPI #1407476484 in Issaquah, Washington

Provider Information

NPI Number: 1407476484
Entity Type: Organization
Organization Name: Bajwa Wong Pllc
Primary Specialty: Dentist
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 640 NW GILMAN BLVD STE 100
City: Issaquah
State: Washington
ZIP Code: 98027-2476
Phone: (425) 507-2888

Authorized Official

Name: SOFIA SEGURA
Title: CREDENTIALING MANAGER
Phone: (509) 901-2239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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