Individual
DR. JACKY LUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1439 S SAINT FRANCIS DR, SANTA FE, NM 87505-4037
(505) 473-5437
Mailing address
955 RICHARDS AVE APT 1016, SANTA FE, NM 87507-6213
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DB-2025-0259
NM
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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