MARISSA WANG

SAN RAFAEL, CA
NPI1073193348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  105449)
Enumeration Date2021-04-12
Last Update Date2021-04-12
Business Address
Dr. MARISSA WANG DMD
3110 KERNER BLVD
SAN RAFAEL, CA 94901-5411
Phone number: 626-297-0068
Mailing Address
Dr. MARISSA WANG DMD
11911 LAMBERT AVE
EL MONTE, CA 91732-2031
Phone number: 626-297-0068
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