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1154418465
GRANT J WONG
SEATTLE, WA
NPI
1154418465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE8803)
Enumeration Date
2006-10-06
Last Update Date
2016-08-23
Business Address
Dr. GRANT J WONG DDS
4215 RAINIER AVE S
SEATTLE, WA 98118-1356
Phone number: 206-723-1877
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Mailing Address
Dr. GRANT J WONG DDS
4215 RAINIER AVE S # A
SEATTLE, WA 98118-1356
Phone number: 206-723-1877
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