Individual
DR. JEONGGYU AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
590 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7850
(612) 363-2126
Mailing address
590 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24151
FL
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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