| Esther B. Jeong, Dds., Pllc | |
|
1125 W Fm 544 Ste 700 Wylie TX 75098-4958 | |
| (972) 881-0715 | |
| (972) 881-8521 |
| Full Name | Esther B. Jeong, Dds., Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1125 W Fm 544 Ste 700, Wylie, Texas |
| Authorized Official Name and Position | Esther B. Jeong (OWNER/DENTIST) |
| Authorized Official Contact | 9728810715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esther B. Jeong, Dds., Pllc 1125 W Fm 544 Ste 700 Wylie TX 75098-4958 Ph: (972) 881-0715 | Esther B. Jeong, Dds., Pllc 1125 W Fm 544 Ste 700 Wylie TX 75098-4958 Ph: (972) 881-0715 |
| NPI Number | 1871064162 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871064162 | NPI | - | NPPES |
| 345294802 | Medicaid | TX | |
| 345294801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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