NPI | 1770148728 |
---|---|
Former Legal Business Name | JUNGMAN & KANGAS DDS INC |
Entity Type | Organization |
Authorized Contact | ROBERT JUNGMAN Partner Dentist 760-489-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-06 |
Last Update Date | 2019-06-20 |