Organization
MARY M. JEW DDS, A PROFESSIONAL ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JEW (PRESIDENT)
(714) 838-0870
Entity
Organization
Contact information
Practice address
18102 IRVINE BLVD, SUITE 200, TUSTIN, CA 92780-3402
(714) 838-0870
(714) 838-1033
Mailing address
18102 IRVINE BLVD, SUITE 200, TUSTIN, CA 92780-3402
(714) 838-0870
(714) 838-1033
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
35410
CA
Other
Enumeration date
05/19/2007
Last updated
02/04/2010
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