| Vincent W H Wang Dds Inc | |
|
572 E Green St Ste 205 Pasadena CA 91101-2075 | |
| (626) 796-2800 | |
| Not Available |
| Full Name | Vincent W H Wang Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 572 E Green St Ste 205, Pasadena, California |
| Authorized Official Name and Position | Vincent Wang (DOCTOR, OWNER) |
| Authorized Official Contact | 6267962800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent W H Wang Dds Inc 572 E Green St Ste 205 Pasadena CA 91101-2075 Ph: (626) 796-2800 | Vincent W H Wang Dds Inc 572 E Green St Ste 205 Pasadena CA 91101-2075 Ph: (626) 796-2800 |
| NPI Number | 1104581370 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Medicare PECOS PAC ID | 5092104521 |
|---|---|
| Medicare Enrollment ID | O20211122002393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104581370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Vincent Wen-hsieng Wang |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366503385 PECOS PAC ID: 6901295435 Enrollment ID: I20211122002430 |
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