Individual
CHUNGMI JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1618 W 287 BUSINESS, WAXAHACHIE, TX 75165-4706
(972) 937-6654
Mailing address
3905 JULIAN ST, FORT WORTH, TX 76244-7650
(713) 471-0122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29969
TX
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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