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Organization
VICKI H. WANG DENTAL CORPORATION
Active
Organization
VICKI H. WANG DENTAL CORPORATION
Active
Other names
smile now dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI HYUNA WANG DDS (PRESIDENT)
(626) 797-3451
Entity
Organization
Contact information
Practice address
1282 N LAKE AVE, PASADENA, CA 91104-2854
(626) 797-3451
(626) 797-3431
Mailing address
1282 N LAKE AVE, PASADENA, CA 91104-2854
(626) 797-3451
(626) 797-3431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064883749
INDIVIDUAL NPI
CA
Enumeration date
07/05/2012
Last updated
07/05/2012
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