Individual
DR. ELIJAH JAEWOOK JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1660 SYCAMORE RD, #A, MONTOURSVILLE, PA 17754-9315
(570) 323-4819
Mailing address
1660 SYCAMORE ROAD, #A, MONTOURSVILLE, PA 17754-9315
(570) 323-4819
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038895
PA
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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