NPI 1043786601

Karen Wang

Practitioner General Practice Dentistry Cudahy, WI

Practice location

Address: 6217 S Packard Ave, Cudahy, WI 53110-3096
Phone: (414) 764-5550

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 1001925-15 (WI)

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Registry record

NPI: 1043786601
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2018
Record last updated: 22 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.