Individual
SUNG YEON JI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
927 COUNTRY CLUB RD STE 100, EUGENE, OR 97401-6018
(458) 201-8471
Mailing address
13190 SE 162ND AVE APT 219, HAPPY VALLEY, OR 97015-3780
(971) 266-7043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019029604
IL
122300000X
Dentist
Primary
D10100
OR
Other
Enumeration date
08/08/2013
Last updated
09/22/2015
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