Individual
DR. RICHARD WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15980 19 MILE RD, CLINTON TWP, MI 48038-1140
(586) 286-4848
Mailing address
15980 19 MILE RD, CLINTON TWP, MI 48038-1140
(586) 286-4848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600266
MI
1223G0001X
General Practice Dentistry
2901600266
MI
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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