Individual
DR. JONATHAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
580 N SUNRISE AVE STE 190, ROSEVILLE, CA 95661-2890
(916) 772-0112
Mailing address
1069 KENDALL DR, SAN GABRIEL, CA 91775-2710
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DDS108810
CA
Other
Enumeration date
09/25/2023
Last updated
01/05/2026
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