Individual
TUN-JAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 898-8965
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045232
PA
1223P0300X
Periodontics
RFD000048
PA
Other
Enumeration date
11/03/2021
Last updated
10/14/2025
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