Individual
ASPEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
7009 AUSTIN ST, FOREST HILLS, NY 11375-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064197
NY
Other
Enumeration date
05/25/2023
Last updated
09/10/2024
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