Individual
JULIA K JEONG
Active
Individual
JULIA K JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901022044
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060400
NY
Other
Enumeration date
03/28/2016
Last updated
09/18/2024
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