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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841228061 | NPPES |
| Washington | MEDICAID | 5049945 |
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