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Individual
DR. ICHUNG WANG
Active
Individual
DR. ICHUNG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CS10000417
WA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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