Individual
DR. BENJAMIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 SW ALDER ST, SUITE 1105, PORTLAND, OR 97205-3625
(503) 228-1506
(503) 228-1499
Mailing address
610 SW ALDER ST, SUITE 1105, PORTLAND, OR 97205-3625
(503) 228-1506
(503) 228-1499
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8313
OR
Other
Enumeration date
01/04/2007
Last updated
06/30/2008
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