Organization
WEIDONG WANG D. D. S. CORP
Active
Other names
A New Image Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEIDONG WANG D. D. S. (DENTIST /OWNER)
(831) 392-1000
Entity
Organization
Contact information
Practice address
1165 FREMONT BLVD, SEASIDE, CA 93955-5741
(831) 392-1000
(831) 392-1010
Mailing address
1165 FREMONT BLVD, SEASIDE, CA 93955-5741
(831) 392-1000
(831) 392-1010
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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