Individual
DR. P KEVIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9661 MAIN ST # C, FAIRFAX, VA 22031-3739
(703) 425-3737
Mailing address
9661 MAIN ST # C, FAIRFAX, VA 22031-3739
(703) 425-3737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412898
VA
Other
Enumeration date
05/01/2010
Last updated
09/14/2011
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