Individual
MARK JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 25TH ST S, FARGO, ND 58104-5900
(701) 234-0333
Mailing address
125 49TH AVE E, WEST FARGO, ND 58078-8221
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1874
ND
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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