Individual
TINA L WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE BROOKLINE PLACE, SUITE 506 DRS THIEL RUBIN WANG INC, BROOKLINE, MA 02445
(617) 735-8660
(617) 735-8662
Mailing address
ONE BROOKLINE PLACE, SUITE 506 DRS THIEL RUBIN WANG INC, BROOKLINE, MA 02445
(617) 735-8660
(617) 735-8662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16481
MA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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