Individual
OLIVER YUCHONG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 W SOUTH ST, LAGRANGE, IN 46761-2233
(260) 463-7006
Mailing address
2530 HEATHERMOOR PARK DR N, CARMEL, IN 46074-8242
(317) 666-1817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12013685A
IN
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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