# TINA JIANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861053613
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1 | WA | Yes |
| 122300000X | Dentist | D-5154 | ID | — |
| 122300000X | Dentist | DE60962154 | WA | — |
| 122300000X | Dentist | LL-554-21 | NV | — |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 07/02/2021