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Individual
FAY WANG
Active
Individual
FAY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
20398
TX
124Q00000X
Dental Hygienist
25265
CA
124Q00000X
Dental Hygienist
Primary
533
CA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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