Individual
MS. JUN FANG WANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
120 E BROADWAY, 4 FL, NEW YORK, NY 10002-6374
(212) 233-8848
(212) 233-8876
Mailing address
PO BOX 943, 4142 42ND ST 2C, NEW YORK, NY 10002-0900
(212) 233-8848
(212) 233-8876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02162701
—
NY
Enumeration date
12/01/2005
Last updated
07/08/2007
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