| Doctor Name: | DR. PATRICK WANG |
| NPI Number: | 1326254038 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | MD60287538 |
| Business Practice Address: | 21105 Sr 410 E Ste G4 Bonney Lake, WA - 983918457 |
| Business Phone Number: | 2532996730 |
| Business Fax Number: | |
| Mailing Address: | 1301 4th Ave Apt 207, SEATTLE |
| State: | WA |
| Postal Code: | 981012557 |
| Phone Number: | 2142154913 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2007 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | MD60287538 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |