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NPI Code Detail

MEDICARE: DR. GEFEI WANG DDS

MEDICARE:  DR. GEFEI  WANG  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist38417TX

General Provider Information

NPI Number : 1750010609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEFEI WANG DDS
Provider Business Mailing Address
First Line : 2420 JEFFERSON POINT DR APT 734
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-4239
Country : US
Telephone Number : 734-277-2485
Fax Number :
Provider Business Practice Location Address
First Line : 5190 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2144
Country : US
Telephone Number : 817-646-8173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 07/29/2023

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Directions to “ DR. GEFEI WANG DDS” Practice Location

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