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
Phone: (925) 934-1211
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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