Provider Demographics
NPI:1750010609
Name:WANG, GEFEI (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEFEI
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 1:2420 JEFFERSON POINT DR APT 734
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-4239
Mailing Address - Country:US
Mailing Address - Phone:734-277-2485
Mailing Address - Fax:
Practice Address - Street 1:5190 WESTERN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76137-2144
Practice Address - Country:US
Practice Address - Phone:817-646-8173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2023-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38417122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist