Individual
DR. MARY M JEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4980 BARRANCA PKWY, SUITE 150, IRVINE, CA 92604-8645
(949) 689-2282
Mailing address
PO BOX 15013, IRVINE, CA 92623-5013
(949) 689-2282
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
35410
CA
Other
Enumeration date
08/19/2010
Last updated
01/28/2015
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