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Contact Information

GEOFFREY H WANG, DDS
175 GRANGE AVENUE
MOLALLA, OR97038
 Phone: 503-829-9734
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GEOFFREY H WANG · (Male)

NPI Number 1083887285
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 04/08/2008
Last updated 12/22/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 9102
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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