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Organization
JEANNIE CHUNG, DDS, MS, INC
Active
Organization
JEANNIE CHUNG, DDS, MS, INC
Active
Other names
Ronald K. Fujitaki, DDS, MS
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE CHUNG DDS (PRESIDENT)
(510) 794-9954
Entity
Organization
Contact information
Practice address
39055 HASTINGS ST, SUITE 104, FREMONT, CA 94538-1518
(510) 794-9954
(510) 794-1796
Mailing address
39055 HASTINGS ST, SUITE 104, FREMONT, CA 94538-1518
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37538
CA
1223P0300X
Periodontics
38284
CA
Other
Enumeration date
01/20/2007
Last updated
12/14/2011
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