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Dr. Jeannie Chung, DDS

Dentist, Periodontics in Fremont, CA. Individual provider (NPI-1).

NPI number1265701528
StatusActive
Last updated in NPPESDec 15, 2011

Details

NPI
1265701528
Entity type
Individual (NPI-1)
Name
Dr. Jeannie Chung
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 15, 2011
Last updated
Dec 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics37538CAYes

Practice location

39055 Hastings St
Suite 104
Fremont, CA 94538-1518

Phone 510-794-9954 · Fax 510-794-1796

Mailing address

39055 Hastings St
Suite 104
Fremont, CA 94538-1518

Phone 510-794-9954 · Fax 510-794-1796

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Other Periodontics providers in Fremont, CA

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