Jimmy I Wang DDS

NPI 1003956517 - Dentist - 1223G0001X

NPI Details
NPI 1003956517
Gender Male
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10432 RESERVE DRIVE
SUITE 110
SAN DIEGO CA, 92127, US
Phone (858) 487-6428
Fax
Business Location
10432 RESERVE DRIVE, SUITE 110
SAN DIEGO CA, 92127, US
Phone (858) 487-6428
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 51387
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According to our database, Dr. Jimmy I Wang DDS NPI is 1003956517, taxonomy code is 1223G0001X and license number is 51387, license state is located at California. Jimmy I Wang DDS physically located at 10432 Reserve Drive, San Diego CA, 92127. NPI Number Jimmy I Wang DDS has the Individual type.

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1003956517 NPI number is provided on an as is basis without warranty of any kind. 1003956517 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmy I Wang DDS are for informational purposes only.