Provider Demographics
NPI:1902040629
Name:JEWORSKI-WANG GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:JEWORSKI-WANG GENERAL PARTNERSHIP
Other - Org Name:SILICON VALLEY ORAL & MAXILLOFACIAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DMD
Authorized Official - Phone:408-736-4332
Mailing Address - Street 1:877 W FREMONT AVE STE E1
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2319
Mailing Address - Country:US
Mailing Address - Phone:408-736-4332
Mailing Address - Fax:408-736-2428
Practice Address - Street 1:877 W FREMONT AVE STE E1
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2319
Practice Address - Country:US
Practice Address - Phone:408-736-4332
Practice Address - Fax:408-736-2428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty