Individual
PEI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7915 LAKE MANASSAS DR STE 203, GAINESVILLE, VA 20155-3259
(703) 753-4901
Mailing address
4107 N RANDOLPH ST, ARLINGTON, VA 22207-4813
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401418098
VA
1223G0001X
General Practice Dentistry
102988
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2017
Last updated
03/17/2025
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