Organization
JEFFERSON FAMILY DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESOOK CHUNG (OWNER)
(757) 872-3100
Entity
Organization
Contact information
Practice address
13176 JEFFERSON AVE STE E, NEWPORT NEWS, VA 23608-1322
(757) 872-3100
Mailing address
13176 JEFFERSON AVE STE E, NEWPORT NEWS, VA 23608-1322
(757) 872-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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