Individual
DR. CONNIE WANG MARCUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
400 CROWN COLONY DR, QUINCY, MA 02169-0930
(617) 706-9003
Mailing address
400 CROWN COLONY DR STE 401, QUINCY, MA 02169-0991
(617) 706-9003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022417
MI
1223P0700X
Prosthodontics
Primary
DN1858617
MA
Other
Enumeration date
08/02/2017
Last updated
08/26/2022
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