| Grant J Wong Dds Ps | |
|
4215 Rainier Ave S # A Seattle WA 98118-1356 | |
| (206) 723-1877 | |
| Not Available |
| Full Name | Grant J Wong Dds Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4215 Rainier Ave S # A, Seattle, Washington |
| Authorized Official Name and Position | Grant Wong (DENTIST) |
| Authorized Official Contact | 2067231877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant J Wong Dds Ps 4215 Rainier Ave S # A Seattle WA 98118-1356 Ph: (206) 723-1877 | Grant J Wong Dds Ps 4215 Rainier Ave S # A Seattle WA 98118-1356 Ph: (206) 723-1877 |
| NPI Number | 1619422359 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619422359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE8803 (Washington) | Primary |
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