Individual
DR. LAWRENCE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10045 BALTIMORE NATIONAL PIKE, SUITE 1 A, ELLICOTT CITY, MD 21042-3673
(410) 418-8370
(410) 418-9068
Mailing address
10045 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3673
(410) 418-8370
(410) 418-9068
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12176
MD
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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