Organization
BLAKE WANG DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE YUANXING WANG DMD (OWNER)
(781) 325-6621
Entity
Organization
Contact information
Practice address
2067 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3301
(925) 934-1211
Mailing address
3725 FIRST ST, LIVERMORE, CA 94551-4905
(781) 325-6621
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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