Individual
DR. DAVID A. WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
537 MURPHY RD, SUITE B, MEDFORD, OR 97504-8187
(541) 779-0900
(541) 858-7973
Mailing address
537 MURPHY RD, SUITE B, MEDFORD, OR 97504-8187
(541) 779-0900
(541) 858-7973
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
34254
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D8352
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12540958
BID
OR
Enumeration date
08/15/2006
Last updated
12/18/2007
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