Individual
DR. DERRICK I WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1959 NE PACIFIC ST, D663A, SEATTLE, WA 98195-7448
(206) 616-1758
Mailing address
1959 NE PACIFIC ST, D663A, SEATTLE, WA 98195-7448
(206) 616-1758
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00010848
WA
Other
Enumeration date
07/18/2006
Last updated
11/21/2016
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