DR. Chad Wong, D.D.S.

NPI #1407847254 in Clackamas, Oregon

Provider Information

NPI Number
1407847254
Entity Type
Individual
Name
DR. Chad Wong, D.D.S.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 1, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
12845 SE 93RD AVE
State
Oregon
ZIP Code
97015-5735
Phone
(503) 794-1900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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