Individual
ANNA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 386-3210
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 521-6700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000441
MA
390200000X
Student in an Organized Health Care Education/Training Program
13776
CT
Other
Enumeration date
04/12/2023
Last updated
06/06/2025
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