# JONATHAN Z WANG DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JONATHAN Z WANG DDS PLLC
- **Other names:** Signature Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154141828
- **Legal business name:** JONATHAN Z WANG DDS PLLC
- **Authorized official:** GLORIA BOHNE (DIRECTOR OF RCM)
- **Authorized official phone:** (719) 460-8882

## Contact information

- **Practice address:** 5245 SUNSET LAKE RD, HOLLY SPRINGS, NC 27540-3793
- **Practice address phone:** (919) 355-1170
- **Mailing address:** 5245 SUNSET LAKE RD, HOLLY SPRINGS, NC 27540-3793
- **Mailing address phone:** (919) 355-1170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024