Organization · Type 2 NPI

Wallace W. Wong DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bellevue, WA

NPI number 1417300062 Active

Practice location

914 140th Ave NE, Suite 102
Bellevue, WA 98005-3482

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	8692WA (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1417300062

Wallace W. Wong DDS's National Provider Identifier is 1417300062, issued on Jul 19, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bellevue, WA. The record was last updated on Jul 19, 2016.