Organization
GLEW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIJAH CHANG WANG DDS, MS (ORTHODONTIST)
(469) 455-1355
Entity
Organization
Contact information
Practice address
6401 HILLCREST AVE STE TBD, DALLAS, TX 75205-1852
(469) 455-1355
Mailing address
2725 RASPBERRY CT, PLANO, TX 75074-2050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
06/11/2019
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