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General NPI Number Information
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NPI Number | 1184504482
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Entity Type | Organization
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Legal Business Name | YU WANG DMD PLLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 11020 71ST RD STE 120
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City | FOREST HILLS
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State | NY
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Zip | 11375-4977
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Country | US
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Telephone | 718-544-8787
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Fax | 718-268-9220
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Provider Business Mailing Address
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Address Line | 11020 71ST RD STE 120
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City | FOREST HILLS
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State | NY
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Zip | 11375-4977
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Country | US
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Telephone | 718-544-8787
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Fax | 718-268-9220
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Authorized Official
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Title or Position | OWNER
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Name | YU WANG
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Credential | DMD
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Telephone | 718-544-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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