Chungmi Jo, DDS
Dentist, General Practice in Waxahachie, TX. Individual provider (NPI-1).
NPI number1003222811
StatusActive
Last updated in NPPESJul 1, 2014
Details
- NPI
- 1003222811
- Entity type
- Individual (NPI-1)
- Name
- Chungmi Jo
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2014
- Last updated
- Jul 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 29969 | TX | Yes |
Practice location
1618 W 287 BusinessWaxahachie, TX 75165-4706
Phone 972-937-6654
Mailing address
3905 Julian StFort Worth, TX 76244-7650
Phone 713-471-0122
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