Individual
DR. JEANNIE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
39055 HASTINGS ST, SUITE 104, FREMONT, CA 94538-1518
(510) 794-9954
(510) 794-1796
Mailing address
39055 HASTINGS ST, SUITE 104, FREMONT, CA 94538-1518
(510) 794-9954
(510) 794-1796
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37538
CA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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