Individual
MISS CHIUNG FENG HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4633
Mailing address
175 SAMARITAN DR, JASPER, GA 30143-1964
(706) 253-4633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014461
GA
122300000X
Dentist
DS0000010001
TN
1223G0001X
General Practice Dentistry
DN014461
GA
1223G0001X
General Practice Dentistry
DS0000010001
TN
Other
Enumeration date
06/25/2012
Last updated
07/22/2024
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