Individual
DR. RAYMOND S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63369
CA
1223P0221X
Pediatric Dentistry
Primary
63369
CA
Other
Enumeration date
05/13/2014
Last updated
02/12/2021
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