Individual
RICHARD KE MING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
101 S WHITING ST, SUITE 106, ALEXANDRIA, VA 22304-3418
(703) 751-7841
(703) 751-7858
Mailing address
101 S WHITING ST, SUITE 106, ALEXANDRIA, VA 22304-3418
(703) 751-7841
(703) 751-7858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS030776L
PA
122300000X
Dentist
OMS49
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401411829
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000234
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
OMS49
CA
Other
Enumeration date
11/30/2006
Last updated
10/05/2007
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