Individual provider · Type 1 NPI
Wendy Crocus Fang
Orthodontics and Dentofacial Orthopedics Dentistry · San Bruno, CA
Practice location
883 Sneath Ln Ste 130
San Bruno, CA 94066-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DDS107805 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1629535182
Wendy Crocus Fang's National Provider Identifier is 1629535182, issued on Feb 20, 2019. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Bruno, CA. The record was last updated on Jul 20, 2026.