Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marissa Wang, DMD

Individual provider General Practice Dentistry · NPI 1073193348

Dr. Marissa Wang, DMD is a General Practice Dentistry in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3110 Kerner Blvd
San Rafael, CA 94901-5411
Phone: (626) 297-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 105449 (CA)

Record details

NPI number1073193348
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 12, 2021
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021
Mailing address11911 Lambert Ave, El Monte, CA 91732-2031

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