Individual
LONGQIAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 PERSHING DR, DERBY, CT 06418-1406
(203) 732-4300
Mailing address
902 POST RD, SCARSDALE, NY 10583-5544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12818
CT
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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