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Individual

FAY WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
330 N ESPLANADE ST, ORANGE, CA 92869-2910
(714) 932-3688
Mailing address
330 N ESPLANADE ST, ORANGE, CA 92869-2910
(714) 932-3688

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
20398
TX
124Q00000X
Dental Hygienist
25265
CA
124Q00000X
Dental Hygienist
Primary
533
CA

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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