Provider Demographics
NPI:1649480252
Name:WANG, FRANCES I-CHIEN (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:I-CHIEN
Last Name:WANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29300 KOHOUTEK WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1220
Mailing Address - Country:US
Mailing Address - Phone:510-324-4411
Mailing Address - Fax:
Practice Address - Street 1:29300 KOHOUTEK WAY STE 100
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1220
Practice Address - Country:US
Practice Address - Phone:510-324-4411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA540691223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics