Individual
MR. DOUGLAS WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
42-67 MAIN ST, FLUSHING, NY 11355
(718) 961-4465
Mailing address
42-67 MAIN ST, FLUSHING, NY 11355
(718) 961-4465
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043491
NY
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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