Individual
JENNIFER TUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
987 BEL MARIN KEYS BLVD, NOVATO, CA 94949-5313
(650) 867-8833
Mailing address
987 BEL MARIN KEYS BLVD, NOVATO, CA 94949-5313
(650) 867-8833
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
100458
CA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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