Organization
VICKI H. WANG DENTAL CORPORATION
Active
Other names
smile now dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI HYUNA WANG DDS (PRESIDENT)
(626) 797-3451
Entity
Organization
Contact information
Practice address
1282 N LAKE AVE, PASADENA, CA 91104-2854
(626) 797-3451
(626) 797-3431
Mailing address
1282 N LAKE AVE, PASADENA, CA 91104-2854
(626) 797-3451
(626) 797-3431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
47206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1064883749
INDIVIDUAL NPI
CA
Enumeration date
07/05/2012
Last updated
07/05/2012
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