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Dr. Carolyn L Wang, DDS
General Practice Dentistry in San Diego, California
NPI 1588233365

Carolyn L Wang is a General Practice Dentistry based in San Diego, CA and is specialized in General Practice. Carolyn L Wang practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Carolyn L Wang is 1588233365 and holds a License No. (California).

The current practice location address for Carolyn L Wang is 9831 Mira Mesa Blvd, San Diego, CA and can be reached out via phone at 858-536-5550.

Location: 9831 Mira Mesa Blvd, San Diego, CA, 92123-2330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588233365
Provider Name
Carolyn L Wang
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
9831 Mira Mesa Blvd, San Diego, CA, 92123-2330
Phone Number
858-536-5550
Fax Number
Provider Enumeration Date
06/24/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
9831 Mira Mesa Blvd
City
San Diego
State
California
Zip
92131-1005
Phone Number
858-536-5550
Fax Number
person
Provider Business Mailing Address Details
Address
9831 Mira Mesa Blvd
City
San Diego
State
California
Zip
92131-1005
Phone Number
858-536-5550
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106278 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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