Organization
J JEON DDS, INC.
Active
Other names
Hacienda Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEA YOUNG JEON DDS (CEO)
(626) 330-4548
Entity
Organization
Contact information
Practice address
3120 S HACIENDA BLVD STE 204, HACIENDA HEIGHTS, CA 91745-6305
(239) 938-6860
Mailing address
3120 S HACIENDA BLVD STE 204, HACIENDA HEIGHTS, CA 91745-6305
(626) 330-4548
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
03/25/2022
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