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General NPI Number Information
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NPI Number | 1255204426
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Entity Type | Organization
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Legal Business Name | LINCHUAN WANG DDS PLLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 32020 1ST AVE S STE 117
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City | FEDERAL WAY
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State | WA
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Zip | 98003-5743
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Country | US
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Telephone | 253-517-3249
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Fax |
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Provider Business Mailing Address
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Address Line | 13738 173RD PL SE
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City | RENTON
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State | WA
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Zip | 98059-8015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINCHUAN WANG
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Credential | DDS
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Telephone | 503-741-9755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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