Individual
MR. CHARLES C JENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3011 SANTA MONICA BLVD, SANTA MONICA, CA 90404
(310) 829-1559
(310) 828-7383
Mailing address
2748 AQUA VERDE CIRCLE, LOS ANGELES, CA 90077
(310) 476-3568
(310) 472-4116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23887
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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