Provider Demographics
NPI:1427737188
Name:JIANG, CYNTHIA LUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LUNG
Last Name:JIANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25285 MADISON AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8955
Mailing Address - Country:US
Mailing Address - Phone:858-386-0886
Mailing Address - Fax:
Practice Address - Street 1:25285 MADISON AVE STE 107
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8955
Practice Address - Country:US
Practice Address - Phone:858-386-0886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1086361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice