Individual
DR. GEOFFREY HSI-WEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
175 GRANGE AVENUE, MOLALLA, OR 97038
(503) 829-9734
Mailing address
7233 SE MAIN ST, PORTLAND, OR 97215-2949
(503) 320-2710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9102
OR
Other
Enumeration date
04/08/2008
Last updated
12/22/2011
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