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1114588217
KONG XING WANG
PEORIA, IL
NPI
1114588217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019032213)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
KONG XING WANG
320 EAST ARMSTRONG AVE
PEORIA, IL 61603
Phone number: 309-655-2000
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Mailing Address
KONG XING WANG
320 E ARMSTRONG AVE
PEORIA, IL 61603-3172
Phone number: 309-655-2000
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