| NPI | 1033383385 |
|---|---|
| Former Name | JESSICA M CHUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 18540) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |