Individual provider · Type 1 NPI

Wallace Wayne Wong, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Bellevue, WA

NPI number 1467574335 Active

Practice location

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

Call (425) 746-7126 Map

Fax (425) 401-8830

Mailing address

914 140th Avenue NE, Suite 102
Bellevue, WA 98005

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DE00008692 (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 1467574335

Wallace Wayne Wong, DDS's National Provider Identifier is 1467574335, issued on Apr 4, 2007. 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 Feb 11, 2010.