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Chaewon Jung, DDS Valid NPI

Individual provider · General Practice Dentistry · Lake Jackson, TX

NPI
1114578408
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
35723 (TX)
Sex
Female
Sole proprietor
Yes
Enumerated
2019-09-27
Last updated
2019-09-27
Practice location
90 Oak Dr Ste C
Lake Jackson, TX 77566-5201
(979) 583-6005

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