Individual
ETHAN JOUNGYUN JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1612 UNISON DR, MIDLOTHIAN, VA 23113-2832
(804) 658-6541
Mailing address
1612 UNISON DR, MIDLOTHIAN, VA 23113-2832
(804) 658-6541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418075
VA
Other
Enumeration date
06/09/2022
Last updated
08/15/2022
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