Individual
JEAN JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
711 KORNEGAY DR, PRATTVILLE, AL 36066-7715
(334) 285-7111
Mailing address
2439 MOUNTAIN DR, HOOVER, AL 35226-1581
(205) 261-9450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007354-C1
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2023
Last updated
07/12/2024
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