Individual
DR. CRAIG JEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1075 VIA VERDE, SAN DIMAS, CA 91773-4347
(909) 599-8331
Mailing address
1075 VIA VERDE, SAN DIMAS, CA 91773-4347
(909) 599-8331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
63595
CA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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