Kong Xing Wang

NPI #1114588217 in Peoria, Illinois

Provider Information

NPI Number: 1114588217
Entity Type: Individual
Name: Kong Xing Wang
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 28, 2019
Last Updated: Jun 28, 2019

Practice Location

Address: 320 EAST ARMSTRONG AVE
City: Peoria
State: Illinois
ZIP Code: 61603
Phone: (309) 655-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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