Jia Wang, DE61176282
NPI #1972173078 in Seattle, Washington
Provider Information
- NPI Number
- 1972173078
- Entity Type
- Individual
- Name
- Jia Wang, DE61176282
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DE61176282
- Enumeration Date
- Jun 30, 2021
- Last Updated
- Jun 30, 2021
Practice Location
- Address
- 7750 15TH AVE NE STE A
- City
- Seattle
- State
- Washington
- ZIP Code
- 98115-4314
- Phone
- (415) 623-0903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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