Organization
NEWARK ORTHODONTIC CENTER - JIAFENG GU, DDS, MS, LLC
Active
Organization
NEWARK ORTHODONTIC CENTER - JIAFENG GU, DDS, MS, LLC
Active
Other names
Newark Orthodontic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIAFENG GU DDS (OWNER, ORTHODONTIST)
(626) 893-2266
Entity
Organization
Contact information
Practice address
974 N 21ST ST STE A-1, NEWARK, OH 43055-2990
(740) 366-3309
Mailing address
974 N 21ST ST STE A-1, NEWARK, OH 43055-2990
(740) 366-3309
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30-024012
OH
Other
Enumeration date
02/23/2017
Last updated
03/04/2024
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