DR. Marissa Wang, DMD
NPI #1073193348 in San Rafael, California
Provider Information
- NPI Number
- 1073193348
- Entity Type
- Individual
- Name
- DR. Marissa Wang, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 12, 2021
- Last Updated
- Apr 12, 2021
Practice Location
- Address
- 3110 KERNER BLVD
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-5411
- Phone
- (626) 297-0068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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