Individual
DR. JASON WEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7025 YELLOWSTONE BLVD APT 15Z, FOREST HILLS, NY 11375-3175
(516) 728-7248
(516) 482-6732
Mailing address
6 ROBIN WAY, GREAT NECK, NY 11021-1024
(516) 728-7248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058523-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2015
Last updated
02/08/2022
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