Organization
JFK WANG DDS CORP
Active
Other names
Just For Kids Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND S WANG DDS (DOCTOR)
(714) 363-6928
Entity
Organization
Contact information
Practice address
7071 INDIANA AVE, RIVERSIDE, CA 92504
(714) 363-6928
Mailing address
54 TUNDRA, IRVINE, CA 92602-1847
(714) 363-6928
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871904896
NPI
CA
Enumeration date
12/11/2018
Last updated
02/12/2021
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