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1407847254
CHAD WONG
CLACKAMAS, OR
NPI
1407847254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D-7086)
Enumeration Date
2005-11-01
Last Update Date
2007-07-08
Business Address
Dr. CHAD WONG D.D.S.
12845 SE 93RD AVE
CLACKAMAS, OR 97015-5735
Phone number: 503-794-1900
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Mailing Address
Dr. CHAD WONG D.D.S.
12845 SE 93RD AVE
CLACKAMAS, OR 97015-5735
Phone number: 503-794-1900
Copy
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