Provider Demographics
NPI:1578749602
Name:WANG, LIMEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIMEI
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 CARPENTER RD STE 101B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1193
Mailing Address - Country:US
Mailing Address - Phone:734-477-9351
Mailing Address - Fax:734-477-9353
Practice Address - Street 1:2512 CARPENTER RD STE 101B
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1193
Practice Address - Country:US
Practice Address - Phone:734-477-9351
Practice Address - Fax:734-477-9353
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010172631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice