CHAD WONG

CLACKAMAS, OR
NPI1407847254
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OR  D-7086)
Enumeration Date2005-11-01
Last Update Date2007-07-08
Business Address
DR. CHAD WONG D.D.S.
12845 SE 93RD AVE
CLACKAMAS, OR 97015-5735
Phone number: 503-794-1900
Mailing Address
DR. CHAD WONG D.D.S.
12845 SE 93RD AVE
CLACKAMAS, OR 97015-5735
Phone number: 503-794-1900