Individual
DR. JANE JIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1802 SAN MIGUEL DR, WALNUT CREEK, CA 94596-8606
(925) 934-5526
Mailing address
1802 SAN MIGUEL DR, WALNUT CREEK, CA 94596-8606
(925) 934-5526
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
103672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103672
CALIFORNIA DENTAL BOARD
CA
Enumeration date
08/01/2014
Last updated
01/11/2022
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