Individual
DR. RAYMOND S WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7170 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 248-0567
Mailing address
7170 INDIANA AVE, RIVERSIDE, CA 92504-4544
(714) 363-6928
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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