Individual
DR. LE LEILA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, PH.D
Contact information
Practice address
10123 LAKE CREEK PKWY BLDG 1, AUSTIN, TX 78729-1755
(413) 835-5934
Mailing address
12316 CARLSBAD DR, AUSTIN, TX 78738-5334
(413) 835-5934
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
35901
TX
Other
Enumeration date
06/25/2019
Last updated
07/23/2024
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