Wong, Alicia K
Wong, Alicia K is an sole proprietor health care provider with primary practice located at 914 140Th Ave Ne Suite 101, Bellevue WA 98005-3482. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Wong, Alicia K can be contacted via phone (425) 401-1147.Contact Information
Primary practice address
914 140Th Ave Ne Suite 101
Bellevue WA 98005-3482
Phone: (425) 401-1147
Fax: (425) 484-6424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00009888 | Washington |
Profile Details
| NPI number | 1003841347 |
|---|---|
| LBN Legal business name | Wong, Alicia K |
| Credentials | DMD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Feb 20th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003841347 | NPPES |
| Washington | MEDICAID | 5047436 |
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