Individual
BENJAMIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3200
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-0755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
35487
TX
122300000X
Dentist
Primary
DD5691
NM
Other
Enumeration date
05/13/2019
Last updated
01/29/2024
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