Individual
DENNIS WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
400 N PEPPER AVE, SUITE 107, COLTON, CA 92324-1801
(909) 580-4289
Mailing address
18726 MONTE VISTA CIR, VILLA PARK, CA 92861-1001
(714) 926-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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