Organization
ESTHER B. JEONG, DDS., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER B. JEONG DDS (OWNER/DENTIST)
(972) 881-0715
Entity
Organization
Contact information
Practice address
1125 W FM 544 STE 700, WYLIE, TX 75098-4958
(972) 881-0715
(972) 881-8521
Mailing address
1125 W FM 544 STE 700, WYLIE, TX 75098-4958
(972) 881-0715
(972) 881-8521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345294801
—
TX
05
—
345294802
—
TX
Enumeration date
12/11/2018
Last updated
12/11/2018
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