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Individual

CATHERINE M WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
23601 CRENSHAW BLVD, TORRANCE, CA 90505-5204
(310) 257-8043
Mailing address
23601 CRENSHAW BLVD, TORRANCE, CA 90505-5204
(310) 257-8043

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21248
MA
1223G0001X
General Practice Dentistry
Primary
49023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X09131
BLUE CROSS
MA
Enumeration date
10/04/2006
Last updated
08/27/2008
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