Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN449 | WA |
NPI | 1750505004 |
---|---|
Provider Name | Quoc W Ngo |
First Address | Seattle, WA 98106-2830 |
Second Address | Seattle, WA 98106-2830 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |