Individual
JACK JAEKOO HUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7802 N 43RD AVE STE 8, BAPTIST DENTAL CENTER, GLENDALE, AZ 85301-8111
(623) 939-6215
(623) 915-0654
Mailing address
7802 N 43RD AVE STE 8, GLENDALE, AZ 85301-8111
(623) 939-6215
(623) 915-0654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4284
AZ
Other
Enumeration date
11/02/2005
Last updated
10/14/2019
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