Organization
JAE HA JUNG DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE HA JUNG DDS (OWNER)
(214) 880-6377
Entity
Organization
Contact information
Practice address
1901 FM 423, STE 200, LITTLE ELM, TX 75068
(214) 880-6377
Mailing address
1901 FM 423, STE 200, LITTLE ELM, TX 75068
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598106569
NPPES
TX
Enumeration date
07/09/2019
Last updated
07/09/2019
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