Individual
JIA WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 HOLLENBECK AVE STE 116, SUNNYVALE, CA 94087-4394
(408) 736-6856
(408) 736-8606
Mailing address
1565 HOLLENBECK AVE STE 116, SUNNYVALE, CA 94087-4300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
36123
CA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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