NPI | 1831520410 |
---|---|
Doing Business As | JC FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JAE W CHUNG Dentist/ Member 602-375-8646 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D7319) |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |