Organization
VINCENT W H WANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT WANG DDS (DOCTOR, OWNER)
(626) 796-2800
Entity
Organization
Contact information
Practice address
572 E GREEN ST STE 205, PASADENA, CA 91101-2075
(626) 796-2800
Mailing address
572 E GREEN ST STE 205, PASADENA, CA 91101-2075
(626) 796-2800
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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