Benjamin C Wang Dmd PC

NPI #1497207492 in Portland, Oregon

Provider Information

NPI Number: 1497207492
Entity Type: Organization
Organization Name: Benjamin C Wang Dmd PC
Primary Specialty: Dentist
Enumeration Date: Oct 26, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 610 SW ALDER ST
Address 2: SUITE 1105
City: Portland
State: Oregon
ZIP Code: 97205-3625
Phone: (503) 228-1506

Authorized Official

Name: BENJAMIN WANG, DMD
Title: OWNER
Phone: (503) 228-1506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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