Individual
CONNIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
256 GREAT RD STE 5, LITTLETON, MA 01460-1916
(978) 486-8261
Mailing address
1827 MINISTERIAL RD, WAKEFIELD, RI 02879-1326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859872
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
05/31/2023
Last updated
03/05/2024
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