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Organization
LAWRENCE WANG
Active
Organization
LAWRENCE WANG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE Y WANG DDS (OWNER/DDS)
(917) 584-0824
Entity
Organization
Contact information
Practice address
1158 BROADWAY, 3RD FLOOR, NEW YORK, NY 10001-7506
(917) 584-0824
Mailing address
2220 65TH ST, BROOKLYN, NY 11204-4035
(917) 584-0824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02713422
—
NY
Enumeration date
06/08/2009
Last updated
06/08/2009
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