Individual
JACLYN JENNIFER DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
114 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5775
(617) 432-1434
Mailing address
13194 NW 23RD ST, PEMBROKE PINES, FL 33028-2550
(910) 381-6578
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13103
NC
122300000X
Dentist
Primary
DN10000024
MA
122300000X
Dentist
DN25132
FL
Other
Enumeration date
08/21/2020
Last updated
08/29/2024
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