DR. Lennie D Wong, D.M.D

NPI #1932335262 in Beaverton, Oregon

Provider Information

NPI Number: 1932335262
Entity Type: Individual
Name: DR. Lennie D Wong, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 4095 SW 144TH AVE STE A
City: Beaverton
State: Oregon
ZIP Code: 97005-2368
Phone: (503) 643-4719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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