| Benjamin C Wang Dmd Pc | |
|
610 Sw Alder St Suite 1105 Portland OR 97205-3625 | |
| (503) 228-1506 | |
| Not Available |
| Full Name | Benjamin C Wang Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 610 Sw Alder St, Portland, Oregon |
| Authorized Official Name and Position | Benjamin Wang (OWNER) |
| Authorized Official Contact | 5032281506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin C Wang Dmd Pc 610 Sw Alder St Suite 1105 Portland OR 97205-3625 Ph: (503) 228-1506 | Benjamin C Wang Dmd Pc 610 Sw Alder St Suite 1105 Portland OR 97205-3625 Ph: (503) 228-1506 |
| NPI Number | 1497207492 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497207492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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