Wong, Chad
Wong, Chad is an individual health care provider with primary practice located at 12845 Se 93Rd Ave , Clackamas OR 97015-5735. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wong, Chad can be contacted via phone (503) 794-1900.Contact Information
Primary practice address
12845 Se 93Rd Ave
Clackamas OR 97015-5735
Phone: (503) 794-1900
Fax: (503) 794-2778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-7086 | Oregon |
Profile Details
| NPI number | 1407847254 |
|---|---|
| LBN Legal business name | Wong, Chad |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
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