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Organization
JIMMY I. WANG, DDS, A PROFESSIONAL CORPORATION
Active
Organization
JIMMY I. WANG, DDS, A PROFESSIONAL CORPORATION
Active
Other names
Dentistry at 4S Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY I WANG DDS (PRESIDENT)
(858) 487-6428
Entity
Organization
Contact information
Practice address
10432 RESERVE DRIVE, SUITE 110, SAN DIEGO, CA 92127
(858) 487-6428
Mailing address
11775 SCRIPPS LAKE DR, SAN DIEGO, CA 92131-2374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51387
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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