Individual
JINGQI JIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
201 3RD ST N, LA CROSSE, WI 54601-3208
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
R822
MN
1223P0221X
Pediatric Dentistry
Primary
6001645-15
WI
Other
Enumeration date
06/02/2022
Last updated
09/25/2024
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