Individual
EUNJUNG JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1265 CENTER RD, BUFFALO, NY 14224-2313
(716) 427-7777
Mailing address
4323 N JOSEY LN STE 205, CARROLLTON, TX 75010-4679
(972) 394-0912
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
41029
TX
1223G0001X
General Practice Dentistry
062927-01
NY
1223G0001X
General Practice Dentistry
15558
MD
Other
Enumeration date
06/23/2014
Last updated
10/06/2024
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