Individual
DR. KELLY YA-YING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
665 WASHINGTON ST, APT 404, BOSTON, MA 02111-1636
(617) 901-0653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12401
MA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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