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Individual
DR. MARY JUNGHYUN UM
Active
Individual
DR. MARY JUNGHYUN UM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
107104
CA
1223G0001X
General Practice Dentistry
35033
TX
1223G0001X
General Practice Dentistry
D-4305
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
107104
CA
Other
Enumeration date
06/24/2010
Last updated
03/15/2022
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