Wang Periodontics Pllc
NPI #1093442048 in Maple Grove, Minnesota
Provider Information
- NPI Number
- 1093442048
- Entity Type
- Organization
- Organization Name
- Wang Periodontics Pllc
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 12000 ELM CREEK BLVD N STE 320
- City
- Maple Grove
- State
- Minnesota
- ZIP Code
- 55369-7076
- Phone
- (763) 420-0200
Authorized Official
- Name
- DR. YUN WANG, DDS, MS, PH.D
- Title
- PRESIDENT
- Phone
- (517) 648-3576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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