Jade Wan-Theng Gan, DDS

NPI #1982048096 in Edmonds, Washington

Provider Information

NPI Number: 1982048096
Entity Type: Individual
Name: Jade Wan-Theng Gan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 19, 2013
Last Updated: Oct 17, 2014

Practice Location

Address: 23320 HWY 99
City: Edmonds
State: Washington
ZIP Code: 98026
Phone: (425) 789-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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