Individual
JENNA JOOHYUN CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2505 S 320TH ST STE 330, FEDERAL WAY, WA 98003-5461
(206) 400-0800
Mailing address
2505 S 320TH ST STE 330, FEDERAL WAY, WA 98003-5461
(206) 400-0800
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
101464
CA
1223P0300X
Periodontics
Primary
DE61127216
WA
Other
Enumeration date
07/30/2014
Last updated
12/13/2021
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