Individual
MS. ROWENA WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1100 NEW JERSEY AVE SE STE 500, WASHINGTON, DC 20003
(202) 279-1817
Mailing address
1100 NEW JERSEY AVE SE STE 500, WASHINGTON, DC 20003-3326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02623900
NJ
Other
Enumeration date
05/13/2013
Last updated
11/04/2019
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