Individual
KE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 S TEXAS AVE, BRYAN, TX 77802-3124
(979) 721-9217
Mailing address
1550 CRESCENT POINTE PKWY APT 7303, COLLEGE STATION, TX 77845-7399
(214) 228-1572
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38910
TX
Other
Enumeration date
03/21/2019
Last updated
08/10/2022
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