Individual
ANNE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062386-01
NY
1223G0001X
General Practice Dentistry
DS041597
PA
Other
Enumeration date
03/26/2017
Last updated
11/07/2022
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