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General NPI Number Information
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NPI Number | 1861597270
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Entity Type | Individual
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Provider Name | WAI-KWAN NG D.D.S., M.S.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 120 COLE RD
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City | MONROE
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State | MI
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Zip | 48162-4104
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Country | US
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Telephone | 734-242-0745
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Fax | 734-242-1884
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Provider Business Mailing Address
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Address Line | 48606 HILLTOP DR W
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City | PLYMOUTH
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State | MI
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Zip | 48170-5260
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Country | US
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Telephone | 734-416-4289
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Fax | 734-416-4289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901016947
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License Number State | MI
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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 | 2901016947
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 30019932
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License Number State | OH
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