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Individual

DR. ELIJAH CHANG WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., D.D.S

Contact information

Practice address
5129 N GARLAND AVE, GARLAND, TX 75040-2725
(972) 276-5191
Mailing address
2725 RASPBERRY CT, PLANO, TX 75074-2050
(408) 386-9401

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34593
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DEN.00203033
CO

Other

Enumeration date
01/03/2017
Last updated
01/15/2021
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