| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHERRY XINRU WAN | 1194447961 | 2022-09-16 |
Sherry Xinru Wan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194447961. Registration indicates Sherry Xinru Wan is a provider of access to dental specialists services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: Orthodontics and Dentofacial Orthopedics, ) (Dental, ) (Dentist Orthodontics and Dentofacial Orthopedics, Dental Providers) (Dentist, )
| Entity Type | Individual |
| Provider Name | Dr. Sherry Xinru Wan DMD |
| Practice Office Address | 1959 NE PACIFIC ST RM B-338 SEATTLE, WA US |
| Practice Office Telephone | 2065435787 |
| Mailing Address | 1959 NE PACIFIC STREET ROOM B-338 SEATTLE, WA 98195 US |
| Code | Practice | License No State |
|---|---|---|
| 1223X0400X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Orthodontics and Dentofacial Orthopedics Dental Dentist Orthodontics and Dentofacial Orthopedics Dental Providers Dentist | DE61171679
WA |