Organization
YELTON JUNG ENDODONTICS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE JUNG (PARTNER)
(214) 609-1415
Entity
Organization
Contact information
Practice address
1901 FM 423 STE 200, FRISCO, TX 75033-4729
(214) 609-1415
Mailing address
1901 FM 423 STE 200, FRISCO, TX 75033-4729
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558591511
NPPES
TX
Enumeration date
01/14/2020
Last updated
01/14/2020
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