Individual
ANGELA TIANQI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
263 FARMINGTON AVENUE, FARMINTON, CT 06030
(860) 679-4920
Mailing address
21 GAIL ROAD, FARMINGTON, CT 06032
(860) 995-3602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
12893
CT
Other
Enumeration date
06/22/2020
Last updated
08/07/2020
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