Individual
DR. CAROLYN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9831 MIRA MESA BLVD, SAN DIEGO, CA 92131-1005
(858) 536-5550
Mailing address
5375 WALNUT AVE UNIT 1036, CHINO, CA 91708-7049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
106278
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2021
Last updated
05/02/2024
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