Wang, Blake Yuanxing

Wang, Blake Yuanxing is an individual health care provider with primary practice located at 2067 Ygnacio Valley Rd , Walnut Creek CA 94598-3301. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wang, Blake Yuanxing can be contacted via phone (925) 934-1211.

Contact Information

Primary practice address
2067 Ygnacio Valley Rd Walnut Creek CA 94598-3301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 105151 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 105151 California

Profile Details

NPI number 1811507544
LBN Legal business name Wang, Blake Yuanxing
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2020
Last updated Apr 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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