Individual
YA-CHUN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22635 NE MARKETPLACE DR STE 110, REDMOND, WA 98053-5898
(425) 284-9884
Mailing address
22635 NE MARKETPLACE DR STE 110, REDMOND, WA 98053-5898
(425) 284-9884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60477545
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275858029
—
WA
Enumeration date
04/20/2012
Last updated
11/19/2015
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