Individual
DR. PATRICK WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
21105 SR 410 E STE G4, BONNEY LAKE, WA 98391-8457
(253) 299-6730
Mailing address
444 RAMSAY WAY, STE 109, KENT, WA 98032-4536
(253) 638-6046
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60273268
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD60287538
WA
Other
Enumeration date
05/16/2007
Last updated
12/22/2016
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