Individual
DR. JONATHAN MATTHEW HURNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
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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