Individual
DR. KATE H JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5019 W NORTH AVE, MILWAUKEE, WI 53208-1121
(414) 445-6500
(414) 445-6618
Mailing address
715 TALON TRAIL, BROOKFIELD, WI 53005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4693015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33740000
—
WI
Enumeration date
03/29/2007
Last updated
07/08/2007
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