institution
Vicki H. Wang Dental Corporation
Dental Clinic/Center in Pasadena, California
NPI 1750646865

Vicki H. Wang Dental Corporation is a Dental Clinic/Center based in Pasadena, CA and is specialized in Dental. Vicki H. Wang Dental Corporation practices in Pasadena, CA. The NPI Number for Vicki H. Wang Dental Corporation is 1750646865 and holds a License No. 47206 (California).

The current practice location address for Vicki H. Wang Dental Corporation is 1282 N Lake Ave, Pasadena, CA and can be reached out via phone at 626-797-3451 and via fax at 626-797-3431.

Location: 1282 N Lake Ave, Pasadena, CA, 91104-2854
institution
Provider Profile Details
NPI Number
1750646865
Provider Name
Vicki H. Wang Dental Corporation
Credential
Provider Entity Type
Organization
Address
1282 N Lake Ave, Pasadena, CA, 91104-2854
Phone Number
626-797-3451
Fax Number
626-797-3431
Provider Enumeration Date
07/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1064883749 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1282 N Lake Ave
City
State
Zip
91104-2854
Phone Number
626-797-3451
Fax Number
626-797-3431
person
Provider Business Mailing Address Details
Address
1282 N Lake Ave
City
State
Zip
91104-2854
Phone Number
626-797-3451
Fax Number
626-797-3431
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
47206 (California)
Definition
Definition to come...
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