Individual
MELANEE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
91 W WIEUCA RD NE STE 300, ATLANTA, GA 30342-3248
(770) 362-7099
Mailing address
91 W WIEUCA RD NE STE 300, ATLANTA, GA 30342-3248
(770) 362-7099
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN123325
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DN123325
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/08/2023
Last updated
02/10/2026
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