| 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 |