Individual
XIAOYAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 EMILE ST # 3602, OMAHA, NE 68198-0600
(402) 559-6000
Mailing address
4400 EMILE ST # 3602, OMAHA, NE 68198-0600
(402) 559-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7678
NE
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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