Organization
JAE CHUNG FAMILY DENTAL
Active
Other names
JC Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JAE W CHUNG D.D.S. (DENTIST/ MEMBER)
(602) 375-8646
Entity
Organization
Contact information
Practice address
401 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2300
(602) 375-8646
(602) 547-1301
Mailing address
401 E BELL RD, SUITE 14, PHOENIX, AZ 85022-2300
(602) 375-8646
(602) 547-1301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7319
AZ
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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