Individual
DR. JAE YONG JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 DEMING ST STE A, MANCHESTER, CT 06042-7131
(860) 644-6500
Mailing address
19 IVANA DRIVE, ANDOVER, MA 01810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11194
CT
Other
Enumeration date
07/22/2014
Last updated
03/17/2018
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