Organization
DERICK WANG DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERICK WANG DMD (PRESIDENT)
(412) 897-0174
Entity
Organization
Contact information
Practice address
515 SOUTH DR STE 10A, MOUNTAIN VIEW, CA 94040-4209
(650) 969-8452
Mailing address
515 SOUTH DR STE 10A, MOUNTAIN VIEW, CA 94040-4209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
100859
CA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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