Penny Waiyan Wong, DDS
Dentist in Seattle, WA. Individual provider (NPI-1).
NPI number1346852498
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1346852498
- Entity type
- Individual (NPI-1)
- Name
- Penny Waiyan Wong
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2020
- Certification date
- Mar 11, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE61569916 | WA | Yes |
| 1223G0001X | Dentist, General Practice | 36606 | TX |
Practice location
3015 Nw 56th StSeattle, WA 98107-4250
Phone 425-831-1790
Mailing address
3015 Nw 56th St Apt 2Seattle, WA 98107-4250
Phone 425-831-1790
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