Individual
DR. BLAKE YUANXING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2067 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3301
(925) 934-1211
Mailing address
3725 FIRST ST, LIVERMORE, CA 94551-4905
(781) 325-6621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
105151
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
105151
CA
Other
Enumeration date
08/06/2020
Last updated
04/14/2023
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