Provider Demographics
NPI:1356495063
Name:WANG, HWA-YING (DMD)
Entity Type:Individual
Prefix:DR
First Name:HWA-YING
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:H Y
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:631 LYTTON AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1334
Mailing Address - Country:US
Mailing Address - Phone:510-299-0017
Mailing Address - Fax:
Practice Address - Street 1:39201 STATE ST STE 215
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1437
Practice Address - Country:US
Practice Address - Phone:510-494-9777
Practice Address - Fax:510-494-9724
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA389411223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics