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Organization
JEFFREY WANG, DDS
Active
Organization
JEFFREY WANG, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DI WANG DDS (OWNER/CEO)
(510) 791-2080
Entity
Organization
Contact information
Practice address
34420 FREMONT BLVD, #C, FREMONT, CA 94555
(510) 791-2080
(510) 791-1496
Mailing address
34420 FREMONT BLVD, #C, FREMONT, CA 94555
(510) 791-2080
(510) 791-1496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49705
CA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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