Individual
DR. JENNIFER CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 RIVER PL STE 110, MONONA, WI 53716
(608) 222-6160
Mailing address
100 RIVER PL, MONONA, WI 53716-4041
(585) 512-5599
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1001780-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982906525
—
WI
Enumeration date
12/02/2010
Last updated
12/06/2018
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