# JEANNIE JIN WANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912450578
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 34592 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | RES3773 | OH | — |

## Other

- **Enumeration date:** 08/01/2016
- **Last updated:** 11/05/2019