Wong, Craig William

Wong, Craig William is an individual health care provider with primary practice located at 14411 Ne 20Th Ave Suite 100, Vancouver WA 98686-6431. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wong, Craig William can be contacted via phone (360) 695-2400.

Contact Information

Primary practice address
14411 Ne 20Th Ave Suite 100 Vancouver WA 98686-6431
Phone: (360) 695-2400
Fax: (360) 906-1116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X WA5774 Washington

Profile Details

NPI number 1841228061
LBN Legal business name Wong, Craig William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841228061 NPPES
Washington MEDICAID 5049945

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