Individual
JING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3608 PAYNE AVENUE, SUITE 101, CLEVELAND, OH 44114
(216) 682-5676
Mailing address
3608 PAYNE AVE, SUITE 101, CLEVELAND, OH 44114-4357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-023662
OH
Other
Enumeration date
07/15/2010
Last updated
06/29/2012
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