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General NPI Number Information
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NPI Number | 1922156488
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Entity Type | Organization
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Legal Business Name | WOO WANG DDS, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 3704 PERRY AVE
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City | KENSINGTON
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State | MD
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Zip | 20895
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Country | US
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Telephone | 301-933-1833
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Fax | 301-933-1840
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Provider Business Mailing Address
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Address Line | 3704 PERRY AVE
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City | KENSINGTON
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State | MD
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Zip | 20895
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Country | US
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Telephone | 301-933-1833
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Fax | 301-933-1840
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DONNA TAN
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Credential |
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Telephone | 240-683-3833
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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 | 7929
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License Number State | MD
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