Organization
CHUANDI WANG PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUANDI WANG (DENTIST)
(269) 267-5876
Entity
Organization
Contact information
Practice address
5907 OAKLAND DR, PORTAGE, MI 49024-1120
(269) 327-4459
Mailing address
5907 OAKLAND DR, PORTAGE, MI 49024-1120
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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