Individual
ALEXIS Y WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3205 BROADVUE CIR, ZANESVILLE, OH 43701-8565
(740) 454-6705
Mailing address
3205 BROADVUE CIR, ZANESVILLE, OH 43701-8565
(614) 370-8013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30025064
OH
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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