Individual
EDWARD WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1408 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3603
(626) 572-7211
Mailing address
1408 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3603
(626) 382-6969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
110975
CA
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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