Individual provider · Type 1 NPI

Keri Anne Jun Lan Wong, DDS

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1609216928 Active

Practice location

6020 35th Ave SW
Seattle, WA 98126-3002

Call (206) 461-6966 Map

Fax (206) 461-6968

Mailing address

905 Spruce St, Ste. 300
Seattle, WA 98104-2474

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRR60390607 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609216928

Keri Anne Jun Lan Wong, DDS's National Provider Identifier is 1609216928, issued on Jul 1, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Jul 1, 2013.