Individual
DR. LAWRENCE LETIAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-7890
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041812
PA
1223G0001X
General Practice Dentistry
34517
TX
Other
Enumeration date
08/03/2018
Last updated
06/09/2026
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