Individual
FRANCES WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6560 W FULLERTON AVE, CHICAGO, IL 60707-3439
(773) 385-6700
Mailing address
430 W ERIE ST, STE 200, CHICAGO, IL 60654-6914
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028928
IL
Other
Enumeration date
01/30/2012
Last updated
03/06/2012
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