Individual
CHANG WOO JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG 38801 ACADEMIC DR, SUITE B&C, FT GORDON, GA 30905-5645
(706) 787-7050
Mailing address
320 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
(706) 787-5102
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
019.031649
IL
Other
Enumeration date
08/07/2018
Last updated
07/20/2023
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