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Benjamin Wang, DDS — NPI 1679139877, Kirtland Afb, NM | NPI Central

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NPI 1679139877

IndividualActive

Benjamin Wang, DDS

NPI 1679139877 · Dentist · Kirtland Afb, NM

Provider details

NPI number: 1679139877
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: DD5691 (NM)

Specialties & taxonomies

DentistPrimary122300000XLicense DD5691 (NM)
Dental Providers
Dentist122300000XLicense 35487 (TX)
Dental Providers

Practice location

2050a 2nd St Se

Kirtland Afb, NM 87117-5522

Phone: (505) 846-3200

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX 78236-5638

Additional practice locations (1)

1100 Wilford Hall Loop, Bldg 4554
Attn: 59 Mdw/Sghc
Jbsa Lackland, TX 78236
Phone: (210) 292-6225

Registry dates

Enumerated: 2019-05-13
Last updated: 2024-01-29
Certified: 2024-01-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.