Organization
WANG PERIODONTICS PLLC
Active
Other names
Maple Grove Periodontics and Implant Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUN WANG DDS, MS, PH.D (PRESIDENT)
(517) 648-3576
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N STE 320, MAPLE GROVE, MN 55369-7076
(763) 420-0200
Mailing address
18145 59TH AVE N, PLYMOUTH, MN 55446-3936
(517) 648-3576
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
09/07/2022
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