Individual
DAE MIN JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
US DENTAL HEALTH ACTIVITY 36000 SHOEMAKER LANE, SUITE 1, FORT CAVAZOS, TX 76544
(254) 287-3105
Mailing address
14184 FURLONG WAY, GERMANTOWN, MD 20874-6158
(240) 654-2137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40635
TX
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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