Individual
DR. JESSICA YOON KYUNG PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1234 WILSHIRE BLVD APT 212, LOS ANGELES, CA 90017-1974
(818) 427-7543
Mailing address
1234 WILSHIRE BLVD APT 212, LOS ANGELES, CA 90017-1974
(818) 427-7543
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS100104
CA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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