Individual
DR. DEBERA SHU-MIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1564 W LANE RD, MACHESNEY PARK, IL 61115-1903
(815) 749-9838
Mailing address
2045 KEIM DR, NAPERVILLE, IL 60565-2861
(630) 631-6342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019034731
IL
1223G0001X
General Practice Dentistry
DE61316013
WA
Other
Enumeration date
07/04/2022
Last updated
01/29/2024
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