Individual
DANIEL WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32114 1ST AVE S STE 200, FEDERAL WAY, WA 98003-5760
(253) 838-9333
Mailing address
32114 1ST AVE S STE 200, FEDERAL WAY, WA 98003-5760
(253) 838-9333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61565690
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/22/2024
Last updated
08/15/2024
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