David Jeong, DDS Valid NPI

Individual provider · General Practice Dentistry · Waukegan, IL

NPI

1639876428

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

019.034354 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2023-02-13

Last updated

2023-06-12