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Organization

MICHELLE WANG DDS, DENTAL PROFESSIONAL CORPORATION

Active
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Organization

MICHELLE WANG DDS, DENTAL PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE Y WANG DDS (PRESIDENT)
(909) 792-1618
Entity
Organization

Contact information

Practice address
232 CAJON ST, SUITE B, REDLANDS, CA 92373-5216
(909) 792-1618
(909) 792-3079
Mailing address
232 CAJON ST, SUITE B, REDLANDS, CA 92373-5216
(909) 792-1618
(909) 792-3079

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51528
CA

Other

Enumeration date
11/06/2014
Last updated
11/06/2014
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