Organization
DAVE WANG DDS INC.
Active
Other names
Anaheim Professional Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE WANG DDS (CEO)
(714) 491-9264
Entity
Organization
Contact information
Practice address
1834 W. LINCOLN AVE. ST. K, ANAHEIM, CA 92801
(714) 491-9264
(714) 491-7939
Mailing address
1834 W. LINCOLN AVE. ST. K, ANAHEIM, CA 92801
(714) 491-9264
(714) 491-7939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B44639-01
MEDI-CAL, DENTI-CAL
CA
Enumeration date
09/07/2006
Last updated
08/22/2020
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