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General NPI Number Information
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NPI Number | 1477210573
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Entity Type | Organization
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Legal Business Name | HONG WANG DENTAL GROUP PLLC
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 3815 N. GRAND PKWY WEST, SUITE 200
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City | KATY
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State | TX
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Zip | 77449-7743
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Country | US
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Telephone | 832-260-2866
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Fax |
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Provider Business Mailing Address
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Address Line | 22114 SUMMER SHOWER CT
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City | CYPRESS
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State | TX
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Zip | 77433-2302
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Country | US
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Telephone | 832-260-2866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HONG WANG
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Credential | DDS
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Telephone | 832-260-2866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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