Individual
JIN XIA JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(917) 285-6825
Mailing address
2424 WHARTON ST, PHILADELPHIA, PA 19146-4027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS044879
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2024
Last updated
10/28/2024
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