Individual
DR. ALICE C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
5900 WATERLOO RD, #220, COLUMBIA, MD 21045-2630
(301) 541-8895
Mailing address
9631 ATHENS PL, GAITHERSBURG, MD 20878-5382
(301) 541-8895
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0401413976
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15419
MD
Other
Enumeration date
06/23/2009
Last updated
11/17/2014
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