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Organization

JEANNIE CHUNG, DDS, MS, INC

Active
Other names
Ronald K. Fujitaki, DDS, MS
Organization subpart
No

Provider details

NPI number
Authorized official
JEANNIE CHUNG DDS (PRESIDENT)
(510) 794-9954
Entity
Organization

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

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
37538
CA
1223P0300X
Periodontics
38284
CA

Other

Enumeration date
01/20/2007
Last updated
12/14/2011
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