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Individual

DR. JIANQIANG XIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
346 SOUTH AVE STE 7, FANWOOD, NJ 07023-1356
(908) 889-2020
(908) 889-8411
Mailing address
346 SOUTH AVE STE 7, FANWOOD, NJ 07023-1356
(908) 889-2020
(908) 889-8411

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02784400
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02784400
NJ

Other

Enumeration date
04/07/2019
Last updated
05/15/2022
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