| Derick Wang Dmd Pc | |
|
515 South Dr Ste 10a Mountain View CA 94040-4209 | |
| (650) 969-8452 | |
| Not Available |
| Full Name | Derick Wang Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 515 South Dr Ste 10a, Mountain View, California |
| Authorized Official Name and Position | Derick Wang (PRESIDENT) |
| Authorized Official Contact | 4128970174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derick Wang Dmd Pc 515 South Dr Ste 10a Mountain View CA 94040-4209 Ph: () - | Derick Wang Dmd Pc 515 South Dr Ste 10a Mountain View CA 94040-4209 Ph: (650) 969-8452 |
| NPI Number | 1487177036 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487177036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 100859 (California) | Primary |
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