Individual provider · Type 1 NPI

Blake Yuanxing Wang, DMD

Oral and Maxillofacial Surgery (Dentist) · Walnut Creek, CA

NPI number 1811507544 Active

Practice location

2067 Ygnacio Valley Rd
Walnut Creek, CA 94598-3301

Mailing address

3725 First St
Livermore, CA 94551-4905

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X105151 (CA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X105151 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1811507544

Blake Yuanxing Wang, DMD's National Provider Identifier is 1811507544, issued on Aug 6, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Walnut Creek, CA. The record was last updated on Apr 14, 2023.