Individual
TAE KYUNG JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3502 EXCEL DR, #1, MEDFORD, OR 97504-9136
(541) 690-1656
Mailing address
3502 EXCEL DR, #1, MEDFORD, OR 97504-9136
(541) 690-1656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8640
OR
Other
Enumeration date
10/04/2006
Last updated
03/03/2017
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