Susan Jene Wang DDS

NPI 1427251222 - Dentist - 1223G0001X

NPI Details
NPI 1427251222
Gender Female
Enumeration Date 06/08/2007
Last Updated 01/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
501 S IDAHO STREET
SUITE 190
LA HABRA CA, 90631, US
Phone (562) 690-0400
Fax (562) 690-3182
Business Location
8572 MONTICELLO AVE
BUENA PARK CA, 90621-1619, US
Phone (562) 972-4466
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901019547
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According to our database, Susan Jene Wang DDS NPI is 1427251222, taxonomy code is 1223G0001X and license number is 2901019547, license state is located at Michigan. Susan Jene Wang DDS physically located at 501 S Idaho Street, La Habra CA, 90631. NPI Number Susan Jene Wang DDS has the Individual type.

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1427251222 NPI number is provided on an as is basis without warranty of any kind. 1427251222 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Jene Wang DDS are for informational purposes only.