Kong X. Wang
General Dentistry · Peoria, IL
UnclaimedNPI 1114588217
- Primary taxonomy
- 122300000X
- Enumerated
- 2019-06-28
- Practice location
- Peoria, IL
- Last NPPES update
- 2019-06-28
State licenses
- IL · Dentist · LICENSED DENTISTExpiredthrough 2022
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.