# JAE CHUNG FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JC Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831520410
- **Authorized official:** JAE W CHUNG D.D.S. (DENTIST/ MEMBER)
- **Authorized official phone:** (602) 375-8646

## Contact information

- **Practice address:** 401 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2300
- **Practice address phone:** (602) 375-8646
- **Practice address fax:** (602) 547-1301
- **Mailing address:** 401 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2300
- **Mailing address phone:** (602) 375-8646
- **Mailing address fax:** (602) 547-1301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D7319 | AZ | Yes |

## Other

- **Enumeration date:** 12/06/2013
- **Last updated:** 12/06/2013