Individual
JIA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DE61176282
Contact information
Practice address
7750 15TH AVE NE STE A, SEATTLE, WA 98115-4314
(415) 623-0903
Mailing address
7750 15TH AVE NE STE A, SEATTLE, WA 98115-4314
(206) 402-3402
(206) 402-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61176282
WA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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