Individual
JADE WAN-THENG GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
23320 HWY 99, EDMONDS, WA 98026
(425) 789-3700
(425) 789-3750
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 640-5533
(425) 640-5534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60500885
WA
Other
Enumeration date
04/19/2013
Last updated
10/17/2014
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