Individual
JUSTIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
5392 S WADSWORTH BLVD UNIT 103, LAKEWOOD, CO 80123-1271
(303) 979-4277
Mailing address
5392 S WADSWORTH BLVD UNIT 103, LAKEWOOD, CO 80123-1271
(303) 979-4277
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
00205465
CO
Other
Enumeration date
02/07/2018
Last updated
05/30/2023
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