Jiao DDS INC
Dentist, Periodontics in Walnut Creek, CA. Organization (NPI-2).
NPI number1831961986
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1831961986
- Entity type
- Organization (NPI-2)
- Legal business name
- Jiao DDS INC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | – | – | Yes |
Practice location
1802 San Miguel DrWalnut Creek, CA 94596-8606
Phone 925-934-7755
Mailing address
1802 San Miguel DrWalnut Creek, CA 94596-8606
Phone 925-934-7755
Authorized official
Jane Jiao
President
9259347755
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