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Individual

DR. JAE YEON JANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
9601 BLACKWELL RD, ROCKVILLE, MD 20850-3472
(240) 428-7311
Mailing address
7710 WOODMONT AVE APT 1208, BETHESDA, MD 20814-6090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16753
MD
122300000X
Dentist
DN1857175
MA
122300000X
Dentist
DS039965
PA

Other

Enumeration date
05/09/2016
Last updated
11/24/2021
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