Derick Wang Dmd Pc Valid NPI

Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Mountain View, CA

NPI

1487177036

Type

Organization (Type 2)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

100859 (CA)

Enumerated

2017-07-25

Last updated

2017-07-25