Individual
SHUYAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 SHETLAND ST APT 408, BOSTON, MA 02119-4212
(617) 417-0008
Mailing address
10 FISHER ST APT 5210, FOXBOROUGH, MA 02035-2993
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000390
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2023
Last updated
09/16/2024
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