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Wangzixi LLC

Dentist, General Practice in Mobile, AL. Organization (NPI-2).

NPI number1003594839
StatusActive
Last updated in NPPESSep 14, 2023

Details

NPI
1003594839
Entity type
Organization (NPI-2)
Legal business name
Wangzixi LLC
Organization subpart
No
Enumeration date
Jul 11, 2023
Certification date
Sep 14, 2023
Last updated
Sep 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

7765 Airport Blvd Ste D200
Mobile, AL 36608-5059

Phone 251-214-0130

Mailing address

Po Box 70887
Cleveland, OH 44190-0887

Authorized official

Michelle Jacomino-Barnes
Director Credentialing & Enrollment
8132709497

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