Organization
JEON PROF. DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEONG ROK JEON (CEO)
(562) 697-7678
Entity
Organization
Contact information
Practice address
116 W LA HABRA BLVD, LA HABRA, CA 90631-5402
(562) 697-7678
(562) 905-3272
Mailing address
116 W LA HABRA BLVD, LA HABRA, CA 90631-5402
(562) 697-7678
(562) 905-3272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
46270
CA
Other
Enumeration date
08/24/2007
Last updated
09/04/2007
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