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Organization
JAE HA JUNG DDS PLLC
Active
Organization
JAE HA JUNG DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE HA JUNG DDS (OWNER)
(214) 880-6377
Entity
Organization
Contact information
Practice address
1901 FM 423, STE 200, LITTLE ELM, TX 75068
(214) 880-6377
Mailing address
1901 FM 423, STE 200, LITTLE ELM, TX 75068
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598106569
NPPES
TX
Enumeration date
07/09/2019
Last updated
07/09/2019
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