Individual
DR. MORLEY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
36-26 215TH PLACE, BAYSIDE, NY 11361
(718) 224-2171
Mailing address
36-26 215TH PLACE, BAYSIDE, NY 11361
(718) 224-2171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056380
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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