Individual
JOHN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5000
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(928) 656-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60057
CA
Other
Enumeration date
12/16/2010
Last updated
08/17/2021
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