Dr. Geoffrey Hsi-Wen Wang, dds
Dentist, General Practice in Molalla, OR. Individual provider (NPI-1).
NPI number1083887285
StatusActive
Last updated in NPPESDec 22, 2011
Details
- NPI
- 1083887285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Geoffrey Hsi-Wen Wang
- Credential
- dds
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2008
- Last updated
- Dec 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 9102 | OR | Yes |
Practice location
175 Grange AvenueMolalla, OR 97038
Phone 503-829-9734
Mailing address
7233 Se Main StPortland, OR 97215-2949
Phone 503-320-2710
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