Organization
JIC DENTAL CARE
Active
Parent organization
JANG'S DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
JANG'S DENTAL CARE
Authorized official
DR. YOUNG SOO JANG DMD (OWNER)
(267) 632-5774
Entity
Organization
Contact information
Practice address
37B GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-4091
Mailing address
37B GARRETT RD, UPPER DARBY, PA 19082-2302
(610) 352-4091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS030832L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023390590001
—
PA
Enumeration date
08/03/2016
Last updated
08/03/2016
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