Provider / Organization | NPI | Date Certified |
---|---|---|
LISA WANG | 1205562253 | 2022-07-30 |
Lisa Wang is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1205562253. Registration indicates Lisa Wang is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
Entity Type | Individual |
Provider Name | Lisa Wang DDS |
Practice Office Address | 2045 WESTLAKE AVE SEATTLE, WA US |
Practice Office Telephone | 2062070200 |
Mailing Address | 600 N 85TH ST UNIT 312 SEATTLE, WA 981033869 US |
Business Telephone | 2064303869 |
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DE61324360
WA |