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Organization
JJ DENTAL PLLC
Active
Organization
JJ DENTAL PLLC
Active
Other names
Central Park Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIYOUNG M JUNG DDS (OWNER)
(469) 583-4092
Entity
Organization
Contact information
Practice address
1101 ALEXIS CT # 101, MANSFIELD, TX 76063-3338
(817) 466-1200
(817) 466-1201
Mailing address
1101 ALEXIS CT # 101, MANSFIELD, TX 76063-3338
(817) 466-1200
(817) 466-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31181
DENTAL LICNESE
TX
Enumeration date
05/25/2017
Last updated
01/22/2024
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