Individual
JEFFREY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7151 CASCADE VALLEY CT, 107, LAS VEGAS, NV 89128-0496
(702) 233-9988
(702) 233-9012
Mailing address
7151 CASCADE VALLEY CT, 107, LAS VEGAS, NV 89128-0496
(702) 233-9988
(702) 233-9012
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
S4-53
NV
Other
Enumeration date
06/28/2006
Last updated
07/16/2009
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