Individual
JESSICA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
61 PEYTON PKWY STE 101, COLLIERVILLE, TN 38017-9702
(901) 854-5527
Mailing address
61 PEYTON PKWY STE 101, COLLIERVILLE, TN 38017-9702
(901) 854-5527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10843
TN
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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