License Type:
Dentist
License Number:
2901600266
Name:
Richard Wang
License Issue Date:
07/22/2019
License Expiration Date:
07/22/2028
License Status:
Active
County:
Macomb
City:
Troy
State or Province:
Michigan
ZIP or Postal Code:
48098
CS Record Number:
5315213813
CS Status:
CS Expiration Date:
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