Individual provider · Type 1 NPI

Keith B. Wong, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Seattle, WA

NPI number 1629326962 Active

Practice location

1818 E Mercer St, Suite 200
Seattle, WA 98112-4687

Fax (206) 812-4490

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE60262326 (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 1629326962

Keith B. Wong, DDS, MS's National Provider Identifier is 1629326962, issued on Aug 16, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Seattle, WA. The record was last updated on Aug 16, 2012.