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Organization
TIEN CHUN D. WANG D.M.D., INC
Active
Organization
TIEN CHUN D. WANG D.M.D., INC
Active
Other names
Tien Chun D. Wang D.M.D., Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIEN CHUN D. WANG (DOCTOR)
(909) 594-7899
Entity
Organization
Contact information
Practice address
1309 N GRAND AVE, WALNUT, CA 91789-1317
(909) 594-7899
(909) 839-1168
Mailing address
1309 N GRAND AVE, WALNUT, CA 91789-1317
(909) 594-7899
(909) 839-1168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35179
CA
Other
Enumeration date
08/07/2018
Last updated
10/11/2018
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