Individual
YOUNG WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
352 N 4TH ST, LARAMIE, WY 82072-3106
(307) 745-5020
Mailing address
MSC DENTAL 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1539
WY
390200000X
Student in an Organized Health Care Education/Training Program
TD-00-116
NM
Other
Enumeration date
03/03/2019
Last updated
05/22/2020
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