Provider Demographics
NPI:1588023139
Name:JIANGHUA WANG DDS INC
Entity Type:Organization
Organization Name:JIANGHUA WANG DDS INC
Other - Org Name:LINK DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIANGHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-558-3384
Mailing Address - Street 1:10826 VENICE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3649
Mailing Address - Country:US
Mailing Address - Phone:310-558-3384
Mailing Address - Fax:
Practice Address - Street 1:10826 VENICE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3649
Practice Address - Country:US
Practice Address - Phone:310-558-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA599631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty