Individual
JEFFREY D. WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE #106, MESA, AZ 85212-2164
(480) 588-5437
(480) 588-7290
Mailing address
3247 E PARK AVE, GILBERT, AZ 85234-4113
(480) 632-1269
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6263
AZ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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