Individual
MR. JERRY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
1475 CEDARWOOD LN STE A, PLEASANTON, CA 94566-6128
(925) 426-1600
(925) 426-1601
Mailing address
1475 CEDARWOOD LN STE A, PLEASANTON, CA 94566-6128
(925) 426-1600
(925) 426-1601
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40200
CA
Other
Enumeration date
11/01/2006
Last updated
01/02/2020
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