Individual
DR. JENNY H WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2106 FALLSTON RD, FALLSTON, MD 21047-1442
(410) 893-0513
(410) 893-7770
Mailing address
13417 FORK RD, BALDWIN, MD 21013-9303
(410) 817-9749
(410) 893-7770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12274
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12274
MD STATE LICENSE
MD
Enumeration date
12/14/2006
Last updated
03/07/2023
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