Provider Demographics
NPI:1700028701
Name:WANG, WINNIE YIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WINNIE
Middle Name:YIN
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 1:7950 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3855
Mailing Address - Country:US
Mailing Address - Phone:562-776-3368
Mailing Address - Fax:562-776-0198
Practice Address - Street 1:7950 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3855
Practice Address - Country:US
Practice Address - Phone:562-776-3368
Practice Address - Fax:562-776-0198
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist