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Organization

JONATHAN Z WANG DDS PLLC

Active
Parent organization
JONATHAN Z WANG DDS PLLC
Other names
North Carolina Premier Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
JONATHAN Z WANG DDS PLLC
Authorized official
GLORIA BOHNE (DIRECTOR OF RCM)
(919) 401-5560
Entity
Organization

Contact information

Practice address
1622 E NC HIGHWAY 54, DURHAM, NC 27713-2100
(919) 401-5560
Mailing address
1622 E NC HIGHWAY 54, DURHAM, NC 27713-2100
(919) 401-5560

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/22/2024
Last updated
02/28/2024
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