LENNIE D WONG

BEAVERTON, OR
NPI1932335262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D6960)
Enumeration Date2009-06-01
Last Update Date2009-06-01
Business Address
Dr. LENNIE D WONG D.M.D
4095 SW 144TH AVE STE A
BEAVERTON, OR 97005-2368
Phone number: 503-643-4719
Mailing Address
Dr. LENNIE D WONG D.M.D
4095 SW 144TH AVE STE A
BEAVERTON, OR 97005-2368
Phone number: 503-643-4719