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Individual
DR. JONG KEUN OH
Active
Individual
DR. JONG KEUN OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019029165
IL
1223G0001X
General Practice Dentistry
Primary
34658
TX
1223G0001X
General Practice Dentistry
7003-15
WI
1223G0001X
General Practice Dentistry
DS039396
PA
Other
Enumeration date
07/12/2012
Last updated
11/16/2019
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