BENJAMIN WANG

KIRTLAND AFB, NM
NPI1679139877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NM  DD5691)
Additional Taxonomies122300000X Dentist
(Licence: TX  35487)
Enumeration Date2019-05-13
Last Update Date2024-01-29
Business Address
BENJAMIN WANG DDS
2050A 2ND ST SE
KIRTLAND AFB, NM 87117-5522
Phone number: 505-846-3200
Mailing Address
BENJAMIN WANG DDS
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 210-292-0755