Individual
DR. JIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 WATERSIDE PLZ APT 12A, NEW YORK, NY 10010-2698
(352) 246-6715
Mailing address
10 WATERSIDE PLZ APT 12A, NEW YORK, NY 10010-2698
(352) 246-6715
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056278
NY
1223P0300X
Periodontics
22DI02504900
NJ
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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