SHAN-AI KWONG

GRESHAM, OR
NPI1346784998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: OR  H5613)
Enumeration Date2016-12-15
Last Update Date2016-12-15
Business Address
-- SHAN-AI KWONG
1261 NE 27TH ST
GRESHAM, OR 97030-3033
Phone number: 503-307-6802
Mailing Address
-- SHAN-AI KWONG
1261 NE 27TH ST
GRESHAM, OR 97030-3033
Phone number: