Individual
ANDREW C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
905 SECRET RIVER DR, SUITE B, SACRAMENTO, CA 95831-3437
(916) 427-8918
Mailing address
905 SECRET RIVER DR, SUITE B, SACRAMENTO, CA 95831-3437
(916) 427-8918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033168
DENTAL LICENSE NUMBER
CA
01
—
B33168-01
DENTI-CAL PROVIDER NUMBER
CA
Enumeration date
01/10/2007
Last updated
07/08/2007
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