Individual
MR. CHONG-SHU WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4200 TRABUCO RD, #130, IRVINE, CA 92620-3600
(949) 551-4737
Mailing address
13081 STANTON, SANTA ANA, CA 92705-2249
(714) 744-6991
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 34011
CA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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