Organization
MELANIE N. WANG, DDS, MSD, ADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE N WANG DDS, MSD (PRESIDENT)
(858) 752-8131
Entity
Organization
Contact information
Practice address
10432 RESERVE DRIVE SUITE 114, SAN DIEGO, CA 92127
(858) 752-8131
Mailing address
11775 SCRIPPS LAKE DR, SAN DIEGO, CA 92131-2374
(858) 566-4883
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53111
CA
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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