Individual
TZICHA JESSICA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2137 WELSH RD STE 2A, PHILADELPHIA, PA 19115-4963
(215) 676-0717
Mailing address
2200 BENJAMIN FRANKLIN PKWY APT W1712, PHILADELPHIA, PA 19130-3670
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS042771
PA
Other
Enumeration date
07/04/2023
Last updated
07/13/2023
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