| Wang And Jean D.m.d., Inc. | |
|
219 E 17th St Santa Ana CA 92706-2802 | |
| (714) 667-0161 | |
| Not Available |
| Full Name | Wang And Jean D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 219 E 17th St, Santa Ana, California |
| Authorized Official Name and Position | Chong Shu Wang (PRESIDENT) |
| Authorized Official Contact | 7147446991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wang And Jean D.m.d., Inc. 219 E 17th St Santa Ana CA 92706-2802 Ph: (714) 667-0161 | Wang And Jean D.m.d., Inc. 219 E 17th St Santa Ana CA 92706-2802 Ph: (714) 667-0161 |
| NPI Number | 1619170883 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619170883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34011 (California) | Primary |
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