DERICK WANG

SAN ANTONIO, TX
NPI1740590777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  29793)
Additional Taxonomies122300000X Dentist
(Licence: PA  DS038440)
Enumeration Date2010-10-08
Last Update Date2014-07-24
Business Address
Dr. DERICK WANG DMD
1455 AUSTIN HWY
SAN ANTONIO, TX 78209-4455
Phone number: 412-897-0174
Mailing Address
Dr. DERICK WANG DMD
12803 WEST AVE APT 19207
SAN ANTONIO, TX 78216-1813
Phone number:
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