Individual
DR. JONATHAN MATTHEW HURNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1807 BAY RD, EAST PALO ALTO, CA 94303-1312
(650) 289-7700
(650) 853-1018
Mailing address
10550 S FOOTHILL BLVD, CUPERTINO, CA 95014-3914
(408) 688-7711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11688
CT
1223P0221X
Pediatric Dentistry
Primary
103677
CA
390200000X
Student in an Organized Health Care Education/Training Program
DL12597
MA
Other
Enumeration date
06/25/2015
Last updated
11/20/2019
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