Individual
ANNE MARIE JENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 LAS GALLINAS AVE STE 201, SAN RAFAEL, CA 94903-3432
(415) 492-1616
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107321
CA
Other
Enumeration date
09/10/2020
Last updated
04/24/2025
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