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Organization

AUDREY WANG DDS CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUDREY WANG DDS (PERIODONTIST)
(858) 472-3695
Entity
Organization

Contact information

Practice address
4765 CARMEL MOUNTAIN RD STE 204, SAN DIEGO, CA 92130-6657
(858) 925-1188
Mailing address
4765 CARMEL MOUNTAIN RD STE 204, SAN DIEGO, CA 92130-6657

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
11/05/2025
Last updated
11/05/2025
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