Individual
YUE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
554 KEILY STREET - BUREAU OF MEDICINE AND SURGERY, CREDENTIALING AND PRIVILEGING, JACKSONVILLE, FL 32212
(757) 953-7011
Mailing address
554 KEILY STREET - BUREAU OF MEDICINE AND SURGERY, CREDENTIALING AND PRIVILEGING, JACKSONVILLE, FL 32212
(757) 953-7011
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205518
VA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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