Individual
DO HYUNG KWON JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6818 ATASCOCITA RD, HUMBLE, TX 77346-2817
(281) 446-4700
Mailing address
345 SUNCREST CIR, BREA, CA 92821-4428
(415) 516-7390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38783
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2021
Last updated
10/20/2022
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